RAY NEIL MITSUNO (NPI# 1083113294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083113294 |
| Entity Type | Individual |
| Full Name | RAY NEIL MITSUNO |
| Credential | CRNA |
| Practice Address |
3600 Broadway Oakland CA 94611-5730 |
| Mailing Address |
225 Pomona Ave El Cerrito CA 94530-4138 |
| Practice Telephone | 5107521000 |
| Mailing Telephone | 5105083091 |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2018-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 95000867 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3600 BROADWAY |
| City | OAKLAND |
| State | CA |
| Zip Code | 94611-5730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588679369 | Katherine Ellen Monagle-olson | Social Worker | 3600 Broadway, Oakland, CA 94611-5730 | 2006-07-30 |
| 1346853553 | Valerie Marie Lee | Respiratory Therapist, Certified | 3600 Broadway, Oakland, CA 94611-5730 | 2020-08-27 |
| 1679197792 | Peggy Truong | Occupational Therapist | 3600 Broadway, Oakland, CA 94611-5730 | 2020-06-04 |
| 1528695848 | Alyssa Tatum Wong Jimenez | Pharmacist | 3600 Broadway, Oakland, CA 94611-5730 | 2020-03-25 |
| 1558997403 | Angelin Cheng | Student in an Organized Health Care Education/Training Program | 3600 Broadway, Oakland, CA 94611-5730 | 2020-03-22 |
| 1457985012 | Katherine Farey | Nurse Practitioner | 3600 Broadway, Oakland, CA 94611-5730 | 2020-02-23 |
| 1730710526 | Alana Nohrden | Dietitian, Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2020-01-30 |
| 1750920104 | Kamalpreet Sahota | Pharmacist | 3600 Broadway, Oakland, CA 94611-5730 | 2020-01-02 |
| 1518505387 | Christina L Doan | Pharmacist | 3600 Broadway, Oakland, CA 94611-5730 | 2019-12-12 |
| 1164069340 | Johnny K Thai | Pharmacist | 3600 Broadway, Oakland, CA 94611-5730 | 2019-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028454 | Abduljabbar Alhammoud | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Oakland Medical Center 275 W. Macarth, Oakland, CA 94611 | 2020-09-21 |
| 1184287435 | Unfold Psychology: A. Heafey Practice | Psychologist | 1955 Mountain Blvd., Suite 101, Oakland, CA 94611 | 2019-04-22 |
| 1700389699 | Katie Herron | Student in an Organized Health Care Education/Training Program | 2535 Harrison St., Oakland, CA 94611 | 2018-03-16 |
| 1861923351 | Hoiwan Cheung | Student in an Organized Health Care Education/Training Program | 3600 Broadway, 4th Fl., Suite 43, Kaiser Oakland, Oakland, CA 94611 | 2017-03-25 |
| 1104377126 | Collin Chan | Pharmacist | 3801 Howe Street, Fabiola G-25, Oakland, CA 94611 | 2016-10-14 |
| 1912457276 | Madeline Marie Perket | Registered Nurse | 933 Kingston Ave, Piedmont, CA 94611 | 2016-10-11 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1033573829 | Diana Murphy | Counselor | 629 Oakland, Oakland, CA 94611 | 2016-04-08 |
| 1437515483 | Laura Northrup II | Marriage & Family Therapist | 3873 Piedmont Ave, Suite 5, Oakland, CA 94611 | 2016-01-06 |
| 1558736835 | Michael Joseph Scollard | Dentist | 42 Linda Ave., Oakland, CA 94611 | 2015-12-11 |
| Find all providers in zip 94611 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891935482 | Carolyn G. Baddeley | Nurse Anesthetist, Certified Registered | 3170 Mebane Rd, Oakland, TN 38060-4012 | 2009-02-23 |
| 1144276171 | Kathy Stearns | Nurse Anesthetist, Certified Registered | 320 Largovista Dr, Oakland, FL 34787-8979 | 2006-05-25 |
| 1730146903 | Darlene Michelle Fields-ba | Nurse Anesthetist, Certified Registered | 4232 Dunsmuir Ave, Oakland, CA 94619-1650 | 2006-04-28 |
| 1821084708 | James Llewellyn | Nurse Anesthetist, Certified Registered | 251 N 4th St, Oakland, MD 21550-1375 | 2005-09-26 |
| 1144863440 | Cayleigh Williamson | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2019-10-21 |
| 1588123160 | James Andrew Weber | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2019-03-13 |
| 1235698929 | Mary Rose Bailey | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2019-03-13 |
| 1346706264 | Chelsea Trotta | Nurse Anesthetist, Certified Registered | 1411 E 31st St, Oakland, CA 94602-1092 | 2019-02-15 |
| 1255808929 | Amin Shabbir Azam | Nurse Anesthetist, Certified Registered | 3600 Broadway, Oakland, CA 94611-5730 | 2018-10-31 |
| 1174017123 | Njodzeka Venatius Ngong | Nurse Anesthetist, Certified Registered | 251 N 4th St, Oakland, MD 21550-1375 | 2018-06-21 |
| Find all providers in OAKLAND | ||||
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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.