DR. DWIGHT HISAYUKI MUKUNO M.D. NPI 1790720019

NPI Information

NPI: 1790720019
Provider Name: DR. DWIGHT HISAYUKI MUKUNO, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
6305 COYLE AVE
CARMICHAEL, CA
ZIP 95608
Phone: (916) 961-6920
Get Directions

DR. Dwight Hisayuki Mukuno, M.D. is a diagnostic radiology radiology in Carmichael, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Dwight Hisayuki Mukuno, M.D. NPI is 1790720019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6305 COYLE AVE
CARMICHAEL, CA
ZIP 95608-438
Phone: (916) 961-6920
Fax: (916) 966-5063

The enumeration date for this NPI number is 6/19/2006 and was last updated on 8/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	G40177	CALIFORNIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	G40177	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00G401773	MEDICARE PIN
2	00G401770	MEDICARE ID-TYPE UNSPECIFIED
3	680220314	OTHER	CALIFORNIA	FEDERAL TIN
4	00G401772	MEDICARE PIN
5	00G401770	OTHER	CALIFORNIA	MEDI-CAL
6	341996544	OTHER	CALIFORNIA	SPECIAL TIN
7	P00176690	OTHER		RAILROAD MEDICARE
8	A48125	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »