KYOKA MIZUNO (NPI# 1306437967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306437967 |
| Entity Type | Individual |
| Full Name | KYOKA MIZUNO |
| Gender | Female |
| Practice Address | 43000 Midway Ave # 595 San Diego CA 92140-5692 |
| Practice Telephone | 6195244006 |
| Mailing Address | 43000 Midway Ave # 595 San Diego CA 92140-5692 |
| Mailing Telephone | 6195244006 |
| Certification Date | 2021-01-27 |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | Dental Providers |
| Street Address | 43000 MIDWAY AVE # 595 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92140-5692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609916568 | Stephen R Hoyem | Dentist · General Practice | 43000 Midway Ave Bldg 595, Mcrd, San Diego, CA 92140-5692 | 2007-02-07 |
| 1205803566 | Carl Erik Opsahl | Dentist · General Practice | 43000 Midway Ave, San Diego, CA 92140-5692 | 2006-03-07 |
| 1992396642 | Eric N Rojas | Dental Hygienist | 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 | 2021-01-26 |
| 1649897109 | Laura Thomas | Dentist · General Practice | 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 | 2020-07-01 |
| 1114561198 | Jesse Huston | Dentist · General Practice | 43000 Midway Ave, San Diego, CA 92140-5692 | 2019-11-01 |
| 1063063774 | Kyoung Won Han | Dentist | 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 | 2019-09-24 |
| 1922655000 | Monica Haewon Lee | Dentist | 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 | 2019-08-22 |
| 1659876852 | Charles William Bruchu | Dentist | 43000 Midway Ave, San Diego, CA 92140-5692 | 2018-03-28 |
| 1992221659 | Marcus Andrew Thayn | Dentist · General Practice | 43000 Midway Ave Bldg 595, San Diego, CA 92140-5692 | 2017-08-15 |
| 1437581899 | Eric Michael Howard | Dentist · General Practice | 43000 Midway Ave, San Diego, CA 92140-5692 | 2013-08-07 |
| Find all providers in zip 92140-5692 | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549177 | Shelly K Gareiss | Dentist · General Practice | Mcrd San Diego, 3800 Chosin Avenue, San Diego, CA 92140 | 2018-08-22 |
| 1700185303 | Rachel Ann Holloway · Rachel Ann Holloway | Physician Assistant | 35000 Guadalcanal Street, Bhc Mcrd, San Diego, CA 92140 | 2011-03-22 |
| 1215158027 | Susan Rohbock | Physician Assistant · Medical | Navy Medical Clinic - Marine Corps Recruit Depot, 35000 Guadalcanal St., San Diego, CA 92140 | 2007-05-01 |
| 1700927514 | Anthony Joseph Marciante | Dentist · General Practice | Branch Dental Clinic Mcrd, 43000 Midway Ave, Bldg 595, San Diego, CA 92140 | 2007-02-12 |
| 1861539488 | Justin Oderkirk | Emergency Medical Technician, Basic | 1650 Henderson Ave, Bldg 310, San Diego, CA 92140 | 2007-01-31 |
| 1437240777 | Karima Ayesh | Dentist · General Practice | 34000 Midway Ave, Bldg 595, Apo, AA 92140 | 2006-09-28 |
| 1730288788 | Naval Medical Center San Diego | Military/U.S. Coast Guard Pharmacy | 25000 Guadal Canal Rd, Bldg 256, San Diego, CA 92140 | 2006-09-22 |
| 1306800644 | Reynaldo L Reyes Jr. | Military Health Care Provider · Independent Duty Corpsman | 35000 Guadalcanal St, Branch Medical Clinic Marine Corps Recruit Depot, San Diego, CA 92140 | 2006-04-13 |
| 1932161197 | Reynaldo Aldover Guadez | Military Health Care Provider · Independent Duty Corpsman | Branch Medical Clinic Mcrd, 35000 Guadalcanal Street, San Diego, CA 92140 | 2006-04-04 |
| 1730151648 | Richard William Skinner | General Practice | Branch Clinic Marine Corps Recruit Depot, 35000 Guadalcanal Ave, San Diego, CA 92140 | 2006-02-03 |
| Find all providers in zip 92140 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912598749 | Reynald Marquez | 824 Briarpoint Pl, San Diego, CA 92154-6457 | 2021-02-03 | |
| 1598353088 | Maggie M Kading | 15684 Bernardo Center Dr Apt 2001, San Diego, CA 92127-1851 | 2021-01-09 | |
| 1427657261 | Julie Lynn March | 19871 Mitscher Way Bldg 2495, San Diego, CA 92145-5103 | 2020-10-22 | |
| 1063011120 | Pamela Ann Reid-Williams | 4155 Spillman Dr, San Diego, CA 92105-5207 | 2020-10-20 | |
| 1053928986 | Xueyan Yang | 13593 Cantare Trl, San Diego, CA 92130-1305 | 2020-09-24 | |
| 1245852110 | Amber D Riley | 2929 Cowley Way Unit G, San Diego, CA 92117-6824 | 2020-05-13 | |
| 1013542976 | Sarah Lisabeth St John | 17107 Montura Dr, San Diego, CA 92128-2127 | 2020-03-10 | |
| 1053872275 | Erika Hernandez | 600 Mc Cain Blvd, San Diego, CA 92135 | 2019-03-29 | |
| 1952876138 | Kathleen Batenga | 6253 Avenida De Las Vistas Unit 1, San Diego, CA 92154-6619 | 2018-10-03 | |
| 1043791403 | Maricruz Barba | 7734 Backer Rd, San Diego, CA 92126-3568 | 2018-08-23 | |
| Find all providers in SAN DIEGO | ||||
| City | SAN DIEGO |
| Zip Code | 92140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679622187 | Hide Mizuno · Hideaki Mizuno | Counselor · Mental Health | 341 Marlborough St Apt 4, Boston, MA 02115-1725 | 2007-01-10 |
| 1508365644 | Tavisha Kyoka Williams | Licensed Vocational Nurse | 13207 Wright Rd, Buda, TX 78610-5000 | 2018-02-05 |
| 1790301497 | Yui Mizuno | Behavior Technician | 13333 Ne Bel Red Rd Ste 100, Bellevue, WA 98005-2332 | 2020-06-18 |
| 1245475987 | Fukami Mizuno | Marriage & Family Therapist | 61 Colony St, Meriden, CT 06451-3210 | 2008-12-10 |
| 1013266527 | Sean Mizuno | Social Worker · Clinical | 439 W 97th St, Los Angeles, CA 90003-3968 | 2012-08-30 |
| 1376691261 | Nancy A Mizuno | Nurse Anesthetist, Certified Registered | 6041 Cadillac Ave, Los Angeles, CA 90034-1702 | 2007-01-08 |
| 1174737761 | Susan N Mizuno | Dentist · Periodontics | 1060 Young St Ste 216, Honolulu, HI 96814-1609 | 2007-05-10 |
| 1518912500 | Philip B Mizuno | Nurse Practitioner · Family | 12250 E Iliff Ave, #300, Aurora, CO 80014-6318 | 2006-05-24 |
| 1497308175 | Taylor Ann Mizuno Moore | Counselor | 618 Library Pl, Evanston, IL 60201-2908 | 2019-07-22 |
| 1558398388 | Eric Mizuno | Internal Medicine | 2720 W Division St, Chicago, IL 60622-2853 | 2006-06-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.