Myra Michiko Mizokami
M.D. | Pediatric Hematology-Oncology | Female
Myra Michiko Mizokami, M.D. is a San Leandro, California based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Myra Michiko Mizokami is
2500 Merced St, San Leandro, California - 94577-4201. She can be contacted on phone at
510-454-1000.
Myra Michiko Mizokami is a sole proprietor of her business.
NPI number (Unique professional ID) for Myra Michiko Mizokami is
1477698694 which was assigned by NPPES on 21 Feb, 2007 and it was last updated on 14 Dec, 2021.
Myra Michiko Mizokami license number is
A84880 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in California.
Myra Michiko Mizokami is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Myra Michiko Mizokami basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Myra Michiko Mizokami |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Myra Michiko Mizokami address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2500 Merced St
San Leandro, CA, 94577-4201
United States |
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| Phone Number : | 510-454-1000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1477698694 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Feb, 2007 |
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| Last Updated On : | 14 Dec, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Myra Michiko Mizokami are as mentioned. Primary taxonomy code for Myra Michiko Mizokami, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | A84880 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Myra Michiko Mizokami such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| A84880 | Other | CA | PHYSICIAN LISCENSE |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
SOAP
(SOAP URL) | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Carequality | | HIE
Health Information Exchange (HIE)
| OTHER
Other
C-CDA | 2500 MERCED ST,
SAN LEANDRO, CA, 94577-4201
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2500 Merced St
San Leandro, CA, 94577-4201
United States |
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| Phone Number : | 510-454-1000 |
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Business Location:
Patients can refer following map for directions to
Myra Michiko Mizokami practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.