Organization Active NPI

Ralph T. Mitarai, M.D., Professional Corporation

  • Anatomic Pathology & Clinical Pathology Physician
  • Sonoma, CA
National Provider Identifier
1871587469
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
RALPH T. MITARAI, M.D., PROFESSIONAL CORPORATION
Practice address
347 Andrieux St
Sonoma, CA 95476-6811
Phone
(707) 938-1480
Fax
(707) 938-1758
NPI assigned
Sep 9, 2005
Last updated
Jan 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Ralph T Mitarai, M.D.
Title
President
Phone
(707) 938-1480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Primary

Addresses

Primary practice location

347 Andrieux St
Sonoma, CA 95476-6811

Mailing address

PO Box 2311
Chatsworth, CA 91313-2311
Phone (818) 718-9500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1871587469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2311",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913132311",
            "telephone_number": "818-718-9500",
            "fax_number": "818-718-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 ANDRIEUX ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766811",
            "telephone_number": "707-938-1480",
            "fax_number": "707-938-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH T. MITARAI, M.D., PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "MITARAI",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-938-1480",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.