Individual provider Active NPI

Mikio A Nihira, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Riverside, CA
National Provider Identifier
1326016114
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
24796 Issued in OK
Practice address
19330 Jesse LN Ste 100
Riverside, CA 92508-5077
Phone
(844) 827-8000
NPI assigned
Mar 9, 2006
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 24796 OK
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X 24796 OK Primary

Addresses

Primary practice location

19330 Jesse LN Ste 100
Riverside, CA 92508-5077

Mailing address

21160 Via Teodocio
Yorba Linda, CA 92887-1819
Phone (405) 274-3111

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161026000909 CA Practitioner - Obstetrics/Gynecology 9739198219 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seven Star Medical Group, Inc.Group PAC ID 4789091026, 14 clinicians

Practice addresses (Care Compare)

1225 E Latham Ave
Suite a
Hemet, CA 92543-4423
Phone (951) 766-0374

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60383CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Healthcare Medical Center Inc Obstetrics & Gynecology CurrentSince Jun 1, 2020 Accepting new patients
Seven Star Medical Group Inc. Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
Apex Healthcare Medical Center Inc CurrentSince Jun 1, 2020 Accepting new patients
Valley Obstetrics & Gynecology Medical Group, Inc. Obstetrics & Gynecology CurrentSince Sep 1, 2024 Accepting new patients
Seven Star Medical Group Inc. CurrentSince Apr 1, 2021 Accepting new patients
Apex Healthcare Medical Center Inc Current Accepting new patients
Seven Star Medical Group Inc. Current Accepting new patients

Locations

400 N Pepper Ave
#2
Colton, CA 92324
Phone (909) 580-2270

1225 E Latham Ave
Ste A
Hemet, CA 92543
Phone (909) 652-8700

1515 W Florida Ave
Hemet, CA 92543
Phone (951) 929-1333

41889 State Highway 74
Hemet, CA 92544
Phone (951) 652-8700

29826 Haun Rd
Ste 200
Sun City, CA 92586
Phone (951) 237-8304

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mikio.nihira.p60@direct.kmsm.nextgenshare.com

Organizations & group practices 7

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

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1326016114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21160 VIA TEODOCIO",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928871819",
            "telephone_number": "405-274-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19330 JESSE LN STE 100",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085077",
            "telephone_number": "844-827-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIHIRA",
        "first_name": "MIKIO",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "24796",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OK",
            "license": "24796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.