David Samuel Mizes, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A22003 Issued in CA

Practice address

2271 S. Depot Street
Santa Maria, CA 93455

Phone

(805) 922-0561

NPI assigned

Jul 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Santa Barbara County Public Health Dept

  • Family Medicine Physician
  • Santa Barbara, CA
  • NPI 1225059983
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1629094230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E CHURCH ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545906",
            "telephone_number": "805-739-3114",
            "fax_number": "805-739-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2271 S. DEPOT STREET",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "93455",
            "telephone_number": "805-922-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZES",
        "first_name": "DAVID",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A22003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A220030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED LICENSE",
            "identifier": "A22003",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mayra S.a. Miranda
• Zoe Catalina Mireles
• Angela Misuraco, N.P.
• Sarah Mitchell
• Brian M Miyagishima, MD
• Mka Eye Associates
• MMC Emergency Physicians Medical Group, Inc
• MMC Emergency Physicians Medical Group, Inc
• Michael William Moats, M.D.,
• John Charles Moessinger III, OD

• Family Medicine Physician in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.