DR. HIDENORI MUTSUO IKUHARA (NPI# 1598889750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598889750 |
| Entity Type | Individual |
| Full Name | DR. HIDENORI MUTSUO IKUHARA |
| Other Name | MUTSUO H. IKUHARA |
| Credential | M.D. |
| Practice Address |
1212 W 17th St Santa Ana CA 92706-3418 |
| Mailing Address |
1835 W 153rd St Gardena CA 90249-4205 |
| Practice Telephone | 7149540432 |
| Practice Fax Number | 7147966265 |
| Mailing Telephone | 3105693512 |
| Mailing Fax Number | 3103278033 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2018-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | G-63739 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1212 W 17TH ST |
| City | SANTA ANA |
| State | CA |
| Zip Code | 92706-3418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871584243 | Michael E Ramirez | Family Medicine | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2005-11-03 |
| 1497212252 | Verlicia Catherine Lee | Physician Assistant | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2019-02-27 |
| 1972967065 | Susan Lee | Family Medicine | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2016-04-05 |
| 1922418466 | Ghe Rosales-vong | Family Medicine | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2014-05-06 |
| 1316244015 | Memorialcare Medical Foundation | Physician Assistant | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2011-02-16 |
| 1255659892 | Giselle Alicia Mata | Nurse Practitioner | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2010-05-06 |
| 1578605135 | Memorialcare Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2007-02-12 |
| 1497802318 | Dean S Jacobs | Pediatrics | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2007-01-04 |
| 1235205774 | Ronald Joseph Ortiz | Specialist | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2006-11-27 |
| 1275580995 | Bristol Park Medical Group, Inc. | Internal Medicine | 1212 W 17th St, Santa Ana, CA 92706-3418 | 2006-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962972448 | Naijwa Lewis | Counselor | 2100 N. Broadway Suite 101, Santa Ana, CA 92706 | 2018-11-28 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1366962854 | Jankee Pandya | Counselor | 2215 N. Broadway, Ste 200, Santa Ana, CA 92706 | 2017-06-26 |
| 1740719178 | Miriam Alejandro Moreno-ortiz | Counselor | 1910 N. Bush St, Santa Ana, CA 92706 | 2017-06-08 |
| 1942617790 | Janice Botzbach | Behavioral Analyst | 1912 N. Broadway Suite 108, Santa Ana, CA 92706 | 2014-07-14 |
| 1841620689 | Orange County Health Care Agency | Clinic/Center | 550 N. Flower Street, Santa Ana, CA 92706 | 2013-11-14 |
| 1740527274 | Jeremy Nishimoto | Counselor | 2100 N. Broadway Ste 101, Santa Ana, CA 92706 | 2013-01-03 |
| 1326392390 | Rosemary Sara Chesters | Marriage & Family Therapist | 921 West Seventeenth Street, Santa Ana, CA 92706 | 2012-10-30 |
| 1790032019 | Jee Hoon Ha | Dentist | 1313 W 17th St Ste B, Santa Ana, CA 92706 | 2012-08-06 |
| 1437404225 | Lisa Steele | Counselor | 1910 N. Bush, Santa Ana, CA 92706 | 2012-07-17 |
| Find all providers in zip 92706 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114430402 | David Owen Maclachlan | Internal Medicine | 10161 Broadview Pl, Santa Ana, CA 92705 | 2017-11-09 |
| 1386011369 | Sam Masao Nakamura | Internal Medicine | 1502 West Surrey Circle, Santa Ana, CA 92704-6738 | 2015-08-26 |
| 1780093021 | Dilshad Medical Inc | Internal Medicine | 15 Macarthur Pl Unit 1103, Santa Ana, CA 92707-6763 | 2014-08-12 |
| 1346660081 | John Feng | Internal Medicine | 3401 W Sunflower Ave Ste 100, Santa Ana, CA 92704 | 2014-04-21 |
| 1275822827 | William Lee Fritz | Internal Medicine | 1950 E 17th St., Santa Ana, CA 92705 | 2011-04-05 |
| 1174833149 | The Mission Medical Clinic of Santa Ana, Inc. | Internal Medicine | 1514 N Sycamore St, Santa Ana, CA 92701-2332 | 2010-10-08 |
| 1730499799 | Sina Medical Group | Internal Medicine | 1125 E 17th St Ste N461, Santa Ana, CA 92701-2270 | 2010-10-08 |
| 1558516963 | Hai Dong Nguyen | Internal Medicine | 2907 Sawgrass Dr, Santa Ana, CA 92706-1195 | 2008-11-26 |
| 1427235142 | Internal Wellness Medical Center, Inc. | Internal Medicine | 2621 S Bristol St Ste 307, Santa Ana, CA 92704-5719 | 2008-01-24 |
| 1265640007 | Priti P Khanijou | Internal Medicine | 1801 Holly Tree Ln, Santa Ana, CA 92705-2579 | 2007-05-17 |
| Find all providers in SANTA ANA | ||||
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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.