Dr Jevon Chris Mitsuoka, PHARMD, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Valencia, California. He graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Adventist Health Physicians Network and his current practice location is
29351 Madeira Ln, Valencia, California. You can reach out to his office (for appointments etc.) via phone at
(661) 775-7737.
Dr Jevon Chris Mitsuoka is licensed to practice in California (license number 17474) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215928171.
Healthcare Provider's Profile
| Full Name | Dr Jevon Chris Mitsuoka |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 29351 Madeira Ln, Valencia, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jevon Chris Mitsuoka graduated from medical school in 2002
NPI Data:
- NPI Number: 1215928171
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 09/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 7517172588
- Enrollment ID: I20180413001606
Medical Identifiers
Medical identifiers for Dr Jevon Chris Mitsuoka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215928171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 183500000X | Pharmacist | 51802 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 17474 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Adventist Health Physicians Network | 3274580972 | 544 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jevon Chris Mitsuoka is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jevon Chris Mitsuoka, PHARMD, PA-C
29351 Madeira Ln,
Valencia, CA 91354-1598
Ph: (661) 775-7737 | Dr Jevon Chris Mitsuoka, PHARMD, PA-C
29351 Madeira Ln,
Valencia, CA 91354-1598
Ph: (661) 775-7737 |
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