Alan Robert Mizutani, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G62366 Issued in CA

Practice address

1525 Superior Ave Ste 114
Newport Beach, CA 92663-3639

Phone

(949) 646-6999

Fax

(949) 646-9699

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17343/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• San Dieguito Anesthesiology Medical Group, Inc.

  • Anesthesiology Physician
  • Santa Ana, CA
  • NPI 1316053044
  NPD (past) Authorized official
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• Gary Chinghuei Kao MD Inc

  • Anesthesiology Physician
  • Garden Grove, CA
  • NPI 1063647774
  NPD (past)
• Kakar Medical Group, Inc.

  • Anesthesiology Physician
  • Santa Ana, CA
  • NPI 1659500841
  NPD (past)
• Robert McGraw Apc

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1265717953
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)
• Scripps Health

  • Clinical Medical Laboratory
  • La Jolla, CA
  • NPI 1427034990
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1114998598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25033",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927995033",
            "telephone_number": "714-347-1010",
            "fax_number": "714-347-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 SUPERIOR AVE STE 114",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633639",
            "telephone_number": "949-646-6999",
            "fax_number": "949-646-9699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Avocado Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926607702",
            "country_code": "US",
            "telephone_number": "949-718-3600",
            "fax_number": "949-718-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27882 Forbes Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Laguna Niguel",
            "state": "CA",
            "postal_code": "926771267",
            "country_code": "US",
            "telephone_number": "949-347-2400",
            "fax_number": "949-347-2424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIZUTANI",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G62366",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G62366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia J Mitchell, PHD
• Rachel Mitchell
• Riichiro Miwa, PSY.D.
• Dorothy Marie Miyaoka, LMFT
• Gene Mizumoto, M.D.
• MN Nurse Practitioners in Practice
• Maleeyah Moates
• Ali Reza Moattari, M.D.
• Sharon E. Moayeri, M.D.
• Mobility Excellence, Inc.

• Anesthesiology Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.