GARY HIRO MIMURA (NPI# 1831246859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831246859 |
Entity Type | Individual |
Full Name | GARY HIRO MIMURA |
Credential | MD |
Practice Address |
250 W El Monte Way Dinuba CA 93618 |
Mailing Address |
1479 W Lacey Blvd Hanford CA 93230-5906 |
Practice Telephone | 5595959890 |
Practice Fax Number | 5596387487 |
Mailing Telephone | 5595834617 |
Mailing Fax Number | 5595834625 |
Enumeration Date | 2007-01-04 |
Last Update Date | 2015-02-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208600000X | Surgery | A37123 | CA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | A37123 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00A371230 | 05 |
Street Address |
250 W EL MONTE WAY |
City | DINUBA |
State | CA |
Zip Code | 93618 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508881376 | Reedley Community Hospital | Clinic/Center | 250 W El Monte Way, Dinuba, CA 93618-1554 | 2006-07-13 |
1316237068 | Liz Karime Hernandez | Family Medicine | 250 W El Monte Way, Dinuba, CA 93618-1554 | 2011-04-14 |
1922180835 | Karen Askren | Physician Assistant | 250 W El Monte Way, Dinuba, CA 93618-1554 | 2006-10-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518447291 | Ericka Carmona | Health Educator | 1000 Rosemary Ave, Dinuba, CA 93618 | 2018-08-21 |
1821481391 | Riaz Qamar | Clinical Nurse Specialist | 420 E Elmonte Way, Dinuba, CA 93618 | 2015-03-09 |
1841607801 | Kaweah Delta Health Care District | Clinic/Center | 355 Monte Vista Dr, Dinuba, CA 93618 | 2014-07-22 |
1891084539 | Susana Dy Calambro | Pharmacist | 2200 E. El Monte Way, Rite Aid, Dinuba, CA 93618 | 2011-04-04 |
1902039860 | Araceli Moreno | Counselor | 144 S L Street, Dinuba, CA 93618 | 2009-08-26 |
1346473238 | Yolanda Marie Rodriguez | Social Worker | 144 S L. Street, Dinuba, CA 93618 | 2009-08-26 |
1679727184 | Alexandra Contreras | Licensed Vocational Nurse | 144 So. L Street, Dinbua, CA 93618 | 2008-11-11 |
1932350063 | Emmanuel Garcia | Licensed Vocational Nurse | 144 South L St., Dinuba, CA 93618 | 2008-10-07 |
1043493430 | Firstsight Vision Services, Inc. | Optometrist | 700 West El Monte Way, Dinuba, CA 93618 | 2007-12-10 |
1487846929 | Debra Cendejas | Counselor | 144 S. L. St., Dinuba, CA 93618 | 2007-08-17 |
Find all providers in zip 93618 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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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.