Active NPI
Jocelyn Ann Mizunaka, MD
- Family Medicine Physician
- Clovis, CA
National Provider Identifier
1336409820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A137124
- Practice address
- 313 W Shaw Ave
Clovis, CA 93612-3685 - Phone
- (559) 712-7500
- Fax
- (559) 875-0575
- NPI assigned
- May 18, 2012
- Last updated
- Feb 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A137124 | CA | Primary |
Addresses
Primary practice location
313 W Shaw Ave
Clovis, CA 93612-3685
Mailing address
3875 W Beechwood Ave
Fresno, CA 93711-0795
Phone (559) 875-0557
Other names 1
- Dr. Jocelyn Ann Fong
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251226000341 | CA | Order and Referring Only - Family Practice | 6406017888 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A137124 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients |
Interoperability endpoints
- jocelyn.mizunaka.1@17661.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1437902566
-
- Federally Qualified Health Center (FQHC)
- Sanger, CA
- NPI 1629599535
-
- Federally Qualified Health Center (FQHC)
- Clovis, CA
- NPI 1629640461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1336409820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3875 W BEECHWOOD AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937110795",
"telephone_number": "559-875-0557",
"fax_number": "559-875-0575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 W SHAW AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123685",
"telephone_number": "559-712-7500",
"fax_number": "559-875-0575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZUNAKA",
"first_name": "JOCELYN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-18",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A137124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOCELYN",
"last_name": "FONG",
"middle_name": "ANN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.