KENNY TOKUJI MICHIOKA (NPI# 1215559638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215559638 |
| Entity Type | Individual |
| Full Name | KENNY TOKUJI MICHIOKA |
| Practice Address |
1208 S Barranca Ave Unit C Glendora CA 91740 |
| Practice Telephone | 8315959581 |
| Mailing Telephone | 8315959581 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
95007921 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1208 S BARRANCA AVE UNIT C |
| City | GLENDORA |
| State | CA |
| Zip Code | 91740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629535380 | Sudario Home Health Care, Inc. | Home Health | 620 W Riute 66 Suite 220a, Glendora, CA 91740 | 2019-02-28 |
| 1659872711 | Matthew Christian Mendoza | Counselor | 1160 S Grand Avenue, Glendora, CA 91740 | 2018-02-23 |
| 1972029981 | Keyauna C Thomas | Case Manager/Care Coordinator | 987 Shady Lane, Glendora, CA 91740 | 2017-08-21 |
| 1356891055 | Stephanie L Contreras | Counselor | 2200 E Route 66 Ste 200, Glendora, CA 91740 | 2016-10-06 |
| 1912454547 | Natalie Sayegh | Dentist | 102 W. Route 66, Suite G, Glendora, CA 91740 | 2016-09-01 |
| 1255715744 | Daily Care,llc | Non-emergency Medical Transport (VAN) | 623 Lemar Park Drive, B, Glendora, CA 91740 | 2015-07-14 |
| 1245661776 | Rjdj Hospice Care, Inc. | Hospice Care, Community Based | 631 E. Arrow Hwy Ste E, Glendora, CA 91740 | 2013-12-10 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1508292384 | Keaunna Sonae Knox | Speech-Language Pathologist | 420 E. Baseline St Suite D & E, Glendora, CA 91740 | 2013-09-24 |
| 1154692556 | Cyrus Nasserian | Psychiatry & Neurology | 415 W. Route 66, Suite 202, Glendora, CA 91740 | 2012-01-18 |
| Find all providers in zip 91740 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003439365 | Dennis Poon | Nurse Practitioner | 451 E Ada Ave, Glendora, CA 91741-3409 | 2020-05-21 |
| 1841832847 | Chelsea Fujita-haffner | Nurse Practitioner | 552 W Foothill Blvd # 200, Glendora, CA 91741-2470 | 2019-10-10 |
| 1144761842 | Hoi Man Carman Chan | Nurse Practitioner | 130 W Route 66 Ste 208, Glendora, CA 91740-6251 | 2017-03-14 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1285061168 | Nam Dao | Nurse Practitioner | 1377 S. Grand Ave, Glendora, CA 91740 | 2013-10-09 |
| 1316101843 | Glendora Clinic | Nurse Practitioner | 44 Westbrooks Ave, Glendora, MS 38928 | 2008-07-14 |
| 1396251039 | I-hui Yang | Nurse Practitioner | 1377 S Grand Ave, Glendora, CA 91740-5047 | 2017-12-18 |
| 1447770581 | Edgar Sunglao Evangelista | Nurse Practitioner | 250 S Grand Ave, Glendora, CA 91741-4218 | 2017-06-20 |
| 1306291042 | Victoria Lee Calendo | Nurse Practitioner | 1300 Black Horse Pike, Glendora, NJ 08029-1308 | 2016-05-02 |
| 1215393384 | Desirae Mutuc-resari | Nurse Practitioner | 130 W Route 66 Ste 326, Glendora, CA 91740-6252 | 2016-01-05 |
| Find all providers in GLENDORA | ||||
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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.