Jevon Chris Mitsuoka, PHARM.D, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

17474 Issued in CA

Practice address

29351 Madeira LN
Valencia, CA 91354-1598

Phone

(661) 775-7737

NPI assigned

Oct 31, 2005

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ventura Urgent Care Center Medical CorpGroup PAC ID 2365492089, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

95.77 of 100Reported as apm

Quality

81.54

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant, Doctor of Pharmacy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jevon.mitsuoka.1@29357.direct.athenahealth.com

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.

• Ventura Urgent Care Center Medical Corp

  • Urgent Care Clinic/Center
  • Ventura, CA
  • NPI 1164449971
  Medicare reassignment Care Compare group
• Sameer Sunita Hassamal & Company, Apc

  • Psychiatry Physician
  • Upland, CA
  • NPI 1710691431
  Medicare reassignment NPD
• SC Medical, Inc.

  • Urgent Care Clinic/Center
  • Santa Clarita, CA
  • NPI 1992078000
  Medicare reassignment NPD
• American Current Care of California, a Medical Corporation

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1750573622
  Medicare reassignment
• Guardiant Health

  • Family Medicine Physician
  • Camarillo, CA
  • NPI 1386240034
  Medicare reassignment
• American Current Care of California, a Medical Corporation

  • Urgent Care Clinic/Center
  • Ontario, CA
  • NPI 1811464084
  NPD
• American Current Care of California, a Medical Corporation

  • Urgent Care Clinic/Center
  • La Palma, CA
  • NPI 1932534609
  NPD
• Allied Emergency Physicians, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Simi Valley, CA
  • NPI 1043531346
  NPD (past)

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1215928171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 RALSTON ST STE 101",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036053",
            "telephone_number": "661-775-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29351 MADEIRA LN",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541598",
            "telephone_number": "661-775-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSUOKA",
        "first_name": "JEVON",
        "middle_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "PHARM.D, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "51802",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "17474",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "17474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Miron
• Khizr Shabbir Mirza
• Joshua P Mitchell, D.C.
• Kristine Marie Mitchell
• Melissa Mitrou, AMFT
• Michele Arin Mittelman, LMFT
• Miryam Susana Miyamoto, MD, DDS
• Jennifer Rose Mize, RN
• Knarik Mkrtchyan
• Zachary Benjamin Moak, MD

• Physician Assistant in Valencia, CA
• Providers in Valencia, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.