MR. JERRY KIYOSHIGE IZU (NPI# 1407928039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407928039 |
| Entity Type | Individual |
| Full Name | MR. JERRY KIYOSHIGE IZU |
| Credential | M.D. |
| Practice Address |
27871 Smyth Dr 102 Valencia CA 91355-6061 |
| Mailing Address |
27871 Smyth Dr Suite 102 Valencia CA 91355-6061 |
| Practice Telephone | 6612591781 |
| Practice Fax Number | 6612594571 |
| Mailing Telephone | 6612591781 |
| Mailing Fax Number | 6612594571 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2016-03-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | C53579 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
27871 SMYTH DR 102 |
| City | VALENCIA |
| State | CA |
| Zip Code | 91355-6061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629125075 | Cecelia Marie Hann | Obstetrics & Gynecology | 27871 Smyth Dr, 102, Valencia, CA 91355 | 2007-01-05 |
| 1043368277 | Don J Nishiguchi | Obstetrics & Gynecology | 27871 Smyth Dr, 102, Valencia, CA 91355-6061 | 2007-01-05 |
| 1649334004 | Valencia Gynecology Associates | Obstetrics & Gynecology | 27871 Smyth Dr, 102, Valencia, CA 91355-6061 | 2006-12-20 |
| 1740355254 | Valencia Gynecology Associates Inc A Medical Group | Obstetrics & Gynecology | 27871 Smyth Dr, Suite 102, Valencia, CA 91355-6062 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609312412 | Primecare Health Center Inc. | Obstetrics & Gynecology | 23823 Valencia Blvd Ste 150, Valencia, CA 91355-9509 | 2017-01-18 |
| 1265870380 | Jerry Izu Medical PC | Obstetrics & Gynecology | 27871 Smyth Dr Ste 102, Valencia, CA 91355-6062 | 2013-06-11 |
| 1972946895 | Alexander John Erickson Jr. | Obstetrics & Gynecology | 23500 Northfield Ct, Valencia, CA 91354-2420 | 2013-04-10 |
| 1144599705 | James L Creighton | Obstetrics & Gynecology | 24650 Brighton Dr, #c, Valencia, CA 91355-4347 | 2011-12-27 |
| 1396936217 | Maryam Ardalan | Obstetrics & Gynecology | 25775 Mcbean Pkwy Ste 208, Valencia, CA 91355-3703 | 2007-08-06 |
| 1336507870 | Women Elite Care Inc | Obstetrics & Gynecology | 25775 Mcbean Pkwy Ste 208, Valencia, CA 91355-3703 | 2016-01-28 |
| 1720341241 | Alyssa B Zackler | Obstetrics & Gynecology | 23803 Mcbean Pkwy, #201, Valencia, CA 91355-2001 | 2012-06-19 |
| 1376823948 | Katherine Taylor | Obstetrics & Gynecology | 23861 Mcbean Pkwy Ste E24, Valencia, CA 91355 | 2011-08-26 |
| 1982885117 | Miin-hsiung Tzeng, M.d., Inc | Obstetrics & Gynecology | 25880 Tournament Rd, Suite 110, Valencia, CA 91355-2349 | 2007-11-15 |
| 1356535371 | Rachel Long | Obstetrics & Gynecology | 25751 Mcbean Pkwy, Suite #220, Valencia, CA 91355-3701 | 2007-09-03 |
| Find all providers in VALENCIA | ||||
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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.