Kevin Jeffrey Mitchell, MD

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

License

G86712 Issued in CA

Practice address

2000 Mowry Ave
Fremont, CA 94538-1716

Phone

(510) 248-1018

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General Surgery

Education

Howard University College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Township Medical FoundationGroup PAC ID 2860687050, 125 clinicians

Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195
• Mercy San Juan Medical Center Hospital, Carmichael, CA, CCN 050516
• Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 35)

Interoperability endpoints

• Direct secure messaging: kmitchell231595@santaclaravalley.direct-ci.net
• Direct secure messaging: kmitchell150529@direct.whhs.com
• FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Kern County Hospital Authority

  dba Kern Medical Center

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1376623538

  Multi-Specialty

  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  dba Palo Alto Medial Foundation

  • Multi-Specialty Clinic/Center
  • Palo Alto, CA
  • NPI 1013950807
  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  dba Sutter Samaritan Surgery Center

  • Ambulatory Surgical Clinic/Center
  • San Jose, CA
  • NPI 1033817168
  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  dba Palo Alto Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Palo Alto, CA
  • NPI 1104067115
  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Fremont, CA
  • NPI 1497996524
  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Los Altos, CA
  • NPI 1568851327
  Medicare reassignment NPD
• Sutter Bay Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Mountain View, CA
  • NPI 1982845186
  Medicare reassignment NPD
• Vibra Physicians LLC

  • Hospitalist Physician
  • Johnstown, CO
  • NPI 1659705424

  CA, Multi-Specialty

  Medicare reassignment NPD
• Kern County Hospital Authority

  • General Acute Care Hospital
  • Bakersfield, CA
  • NPI 1427176569

  Multi-Specialty

  NPD
• Sutter Bay Medical Foundation

  dba Sutter Pacific Medical Foundation

  • Multi-Specialty Clinic/Center
  • Sacramento, CA
  • NPI 1003267196
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Dignity Health

  dba Mercy San Juan Medical Center

  • General Acute Care Hospital
  • Carmichael, CA
  • NPI 1972541498
  Care Compare affiliation
• Stanford Health Care Tri-Valley

  • General Acute Care Hospital
  • Pleasanton, CA
  • NPI 1144389941
  Care Compare affiliation
• Washington Township Hospital District

  dba Washington Hospital

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1255388666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-248-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MOWRY AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381716",
            "telephone_number": "510-248-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KEVIN",
        "middle_name": "JEFFREY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G86712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G867120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mission Peak Dental Care
• Mission Peak Orthopaedic Medical Group, Inc
• Mission Primary Care LLC
• Mission Surgery Center, Inc.
• Mission Vascular Interventional Group
• Wendy Mitchell, RN
• Shikha Mittal
• Kathryn Xiaosha Miyamori
• Sudabeh Z Moavenian, DDS, MS
• Mobilada

• Trauma Surgery Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Trauma Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.