Individual provider Active NPI

Takako Mitsuhashi, M.D.,PH.D.

  • Dermatopathology (Pathology) Physician
  • Irvine, CA
National Provider Identifier
1720290752
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
A69535 Issued in CA
Practice address
2601 Campus Dr
Irvine, CA 92612-1601
Phone
(949) 265-1782
Fax
(949) 754-9330
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X A69535 CA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A69535 CA

Addresses

Primary practice location

2601 Campus Dr
Irvine, CA 92612-1601

Mailing address

2601 Campus Dr
Irvine, CA 92612-1601
Phone (949) 265-1782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720290752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CAMPUS DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121601",
            "telephone_number": "949-265-1782",
            "fax_number": "949-754-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CAMPUS DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121601",
            "telephone_number": "949-265-1782",
            "fax_number": "949-754-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSUHASHI",
        "first_name": "TAKAKO",
        "credential": "M.D.,PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A69535",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A69535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.