Kimberly Mizera

Primary specialty

Phlebotomy TechnicianTaxonomy code 246RP1900X

License

CPT-02042926 Issued in NU

Practice address

9692 Ocotillo Way
Apple Valley, CA 92308-9714

Phone

(844) 382-1040

Fax

(833) 879-4451

NPI assigned

Dec 13, 2025

Last updated

Dec 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1765584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1184588105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 OCOTILLO WAY",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923089714",
            "telephone_number": "844-382-1040",
            "fax_number": "833-879-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 OCOTILLO WAY",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923089714",
            "telephone_number": "844-382-1040",
            "fax_number": "833-879-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZERA",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-13",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": "CPT-02042926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hansal Mistry, MD
• Angela Mitchell, APCC
• James William Mitchell, MA, LMFC
• Luis Andres Mitchell
• Zuhura Miya
• Maryam Modirrousta, CNM, NP
• Ajay Moganti, MD
• Riyad Mohammednur, PHARMD
• Mohinder P Ahluwalia M D & Trevi Ahluwalia M D Inc a Prof Corp
• Mohinder P Ahluwalia M D & Trevi Ahluwalia M D Inc a Prof Corp

• Phlebotomy Technician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Phlebotomy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.