DR. JEVON CHRIS MITSUOKA PHARM.D PA-C NPI 1215928171

NPI Information

NPI: 1215928171
Provider Name: DR. JEVON CHRIS MITSUOKA, PHARM.D, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: ADVENTIST HEALTH PHYSICIANS NETWORK

PECOS Registration: Yes

Address:
29351 MADEIRA LN
VALENCIA, CA
ZIP 91354
Phone: (661) 775-7737
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DR. Jevon Chris Mitsuoka, PHARM.D, PA-C is a medical physician assistant in Valencia, CA with 22 years of experience. DR. Jevon Chris Mitsuoka, PHARM.D, PA-C NPI is 1215928171. 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:

29351 MADEIRA LN
VALENCIA, CA
ZIP 91354-598
Phone: (661) 775-7737

The NPI 1215928171 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/31/2005 and was last updated on 9/25/2015.

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	183500000X	Pharmacist		51802	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	17474	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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