MARY M OKIMOTO


Address: 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068
Phone: 8055435577

MARY M OKIMOTO (NPI# 1144400771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144400771
Entity Type Individual
Full Name MARY M OKIMOTO
Credential NP
Practice Address 715 Tank Farm Road
Suite C
San Luis Obispo
CA 93401-7068
Mailing Address 117 West Bunny Avenue
Santa Maria
CA 93458-2805
Practice Telephone 8055435577
Practice Fax Number 8055953231
Mailing Telephone 8055435577
Mailing Fax Number 8055953231
Enumeration Date 2007-11-12
Last Update Date 2015-12-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SX0204X Clinical Nurse Specialist
Specialization: Oncology, Pediatrics
17444 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE ID CB242811 01

Office Location

Street Address 715 TANK FARM ROAD
SUITE C
City SAN LUIS OBISPO
State CA
Zip Code 93401-7068

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750385183 Oncology Hematology Medical Associates of The Central Coast Internal Medicine 715 Tank Farm Road, San Luis Obispo, CA 93401-4140 2005-06-13
1790176543 Diane De Vos-schmidt Nurse Practitioner 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 2015-02-16
1861609414 Susan K Moon Labriola Clinical Nurse Specialist 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 2007-05-16
1457343113 James M Malone IIi Internal Medicine 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 2005-08-18
1477558435 Thomas J Spillane Internal Medicine 715 Tank Farm Road, Suite C, San Luis Obispo, CA 93401-7068 2005-06-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497228399 Barbara Jean Morrow Dental Hygienist 2191 Johnson Avenue, San Luis Obispo, CA 93401 2019-01-03
1104307743 Griffith Jennings Counselor 1225 Kendal Rd, San Luis Obispo, CA 93401 2018-08-22
1124518808 Joy L Delaluna Licensed Psychiatric Technician 692 Evens Rd, San Luis Obispo, CA 93401 2018-05-17
1982192084 Sierra Mental Wellness Group Community/Behavioral Health 2180 B Johnson Avenue, San Luis Obispo, CA 93401 2018-04-25
1326554403 Veronica Chanel Laguna Case Manager/Care Coordinator 1065 Kansas Ave., San Luis Obispo, CA 93401 2017-12-27
1043739782 Janette Lynn Branca Case Manager/Care Coordinator 285 South Street, Suit J, San Louis Obispo, CA 93401 2017-09-13
1588194104 Adv Vision LLC Optometrist 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 2017-06-15
1508395880 Samantha Clay Counselor 1255 Kendall Road, San Luis Obispo, CA 93401 2017-06-08
1659804771 Sara Anne Powers Counselor 697 Higuera Street D, San Luis Obispo, CA 93401 2017-04-05
1508306010 Russell Piazza Pharmacist 873 Ricardo Court, San Luis Obispo, CA 93401 2017-03-02
Find all providers in zip 93401

Taxonomy Information

Taxonomy Code 364SX0204X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Oncology, Pediatrics

Taxonomy Definition

Definition to come...

Competitor

Search similar providers

City SAN LUIS OBISPO
Zip Code 93401

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Dataset Information

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.

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