WESLEY T MIZUTANI (NPI# 1699774919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699774919 |
| Entity Type | Individual |
| Full Name | WESLEY T MIZUTANI |
| Credential | MD |
| Practice Address |
2925 N Palo Verde Long Beach CA 90815 |
| Practice Telephone | 7149646229 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A40745 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI CAL | 00A407450 | 01 |
| Street Address |
2925 N PALO VERDE |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922003672 | Alice S Chen | Pediatrics | 2925 N Palo Verde, Long Beach, CA 90815 | 2005-06-18 |
| 1093714925 | George A Perrine | Neurological Surgery | 2925 N Palo Verde, Long Beach, CA 90815 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1174927925 | Bradley Schlussel | Internal Medicine | 424 W Park Ave, 2nd Floor, Long Beach, NY 11561-3129 | 2014-10-22 |
| 1255534087 | Long Beach Rheumatology, PC | Internal Medicine | 759 Lincoln Blvd, Long Beach, NY 11561-2355 | 2007-06-08 |
| 1659583805 | Bruce Jay Nitsberg | Internal Medicine | 860 East Broadway, #6u, Long Beach, NY 11561 | 2007-05-03 |
| 1295773257 | Fernando Ravessoud, M.d. Inc. | Internal Medicine | 3918 Long Beach Blvd, Suite 180, Long Beach, CA 90807-2666 | 2006-06-03 |
| 1962016402 | Pih Health Physicians | Internal Medicine | 2220 Clark Ave, Long Beach, CA 90815-2521 | 2020-09-02 |
| 1861718397 | Chau Lien Nguyen | Internal Medicine | 2699 Atlantic Ave, Long Beach, CA 90806-2710 | 2010-04-08 |
| 1215060199 | Prohealth Partners, A Medical Group, Inc. | Internal Medicine | 3816 Woodruff Ave, Suite 412, Long Beach, CA 90808-2147 | 2007-03-13 |
| 1760520886 | Arthur Lorber, M.d., Inc | Internal Medicine | 3918 Long Beach Blvd, Suite 180, Long Beach, CA 90807-2666 | 2007-02-01 |
| 1811910847 | Geoffrey S Dolan | Internal Medicine | 3816 Woodruff Ave, Suite 412, Long Beach, CA 90808-2147 | 2006-07-25 |
| 1316969629 | Michael S Maehara | Internal Medicine | 2220 Clark Ave, Long Beach, CA 90815-2521 | 2006-07-24 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on WESLEY T MIZUTANI.
| 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.