SARAH YURIKO MIZUKI


Address: 390 N PCh, Suite 1000, El Segundo, CA 90245
Phone: 3106409911

SARAH YURIKO MIZUKI (NPI# 1265950448) 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) 1265950448
Entity Type Individual
Full Name SARAH YURIKO MIZUKI
Other Name SARAH YURIKO WOLFF
Credential PA-C
Practice Address 390 N PCh
Suite 1000
El Segundo
CA 90245
Practice Telephone 3106409911
Mailing Telephone 6106409911
Enumeration Date 2017-09-07
Last Update Date 2019-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 54709 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA CALIFORNIA PHYSICIAN ASSISTANT BOARD 54709 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
390 N Sepulveda Blvd Ste 1000, El Segundo, CA 902454401

Office Location

Street Address 390 N PCH
SUITE 1000
City EL SEGUNDO
State CA
Zip Code 90245

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1366058976 Britt'nee Cornelius Massage Therapist 222 North PCh, Suite 2000, El Segundo, CA 90245 2020-09-18
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1578023057 Miles Bertumen Pharmacist 283 N Aviation Blvd, Building 210, El Segundo, CA 90245 2019-03-21
1831673201 Kriss L. Killam Marriage & Family Therapist 302 W. Grand Ave., Suite 9, El Segundo, CA 90245 2018-09-20
1811487911 Bright Light Recovery Substance Abuse Rehabilitation Facility 218 Concord St, Suite C, El Segundo, CA 90245 2018-05-14
1326586462 Jlp Interpreting Services Interpreter 963 Virginia St #5, El Segundo, CA 90245 2017-02-09
1619351707 El Segundo Dermatology, Inc. Specialist 713 N Douglas St., El Segundo, CA 90245 2015-07-17
1083956635 24hr Homecare, LLC Home Health 200 N. Pacific Coast Highway, Suite 300, El Segundo, CA 90245 2013-03-21
1326316720 Kris S. Syn Pharmacist 331 North Sepulveda Blvd, El Segundo, CA 90245 2011-12-13
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720508864 Sarah Wrigley Physician Assistant 390 N Sepulveda Blvd Ste 1000, El Segundo, CA 90245-4401 2017-06-20
1033536594 Elizabeth Meagan Hartman Physician Assistant 604 Illinois Ct Apt 1, El Segundo, CA 90245-3451 2014-03-23
1780985457 Paul Tagashira Physician Assistant 390 N Pacific Coast Hwy, El Segundo, CA 90245-4475 2010-11-10
1396210969 Mohammed Swissa Physician Assistant 898 N Pacific Coast Hwy Ste 600, El Segundo, CA 90245-2747 2018-10-09
1346743275 Jikasha Mon'cie Walker Physician Assistant 483 N Aviation Blvd Bldg 210, El Segundo, CA 90245-2808 2018-03-16
1245774793 Mahsa Monica Afrookhteh Physician Assistant 390 N Sepulveda Blvd, Ste. 1000, El Segundo, CA 90245-4475 2016-12-16
1841642253 Matthew Zimmermann Physician Assistant 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2016-07-09
1336526557 David Ortega-endahl Physician Assistant 2101 Rosecrans Ave # 3230, El Segundo, CA 90245-4749 2015-04-27
1902237894 Elise L. Diner Physician Assistant 2040 E Mariposa Ave, El Segundo, CA 90245-5027 2013-12-03
1679751200 Clifford C Souder Physician Assistant 483 N Aviation Blvd, El Segundo, CA 90245-2808 2008-02-06
Find all providers in EL SEGUNDO

Competitor

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City EL SEGUNDO
Zip Code 90245

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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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