Kevin Scott Mochizuki, PH.D. D.ABNM

Primary specialty

AudiologistTaxonomy code 231H00000X

License

4971390-4101 Issued in UT

Practice address

428 S Douglas St Apt 1
Salt Lake City, UT 84102

Phone

(435) 414-0128

Fax

(951) 742-4609

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA, CO, SD, UT, NV, TN, WY, ID8 enrollments

Enrollment records 8

Specialty

Qualified Audiologist

Education

University of Utah School of Medicine, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bear River Valley Medical LLCGroup PAC ID 9537493903, 3 clinicians

Monitoring Associates LLCGroup PAC ID 8921314923, 11 clinicians

Satellite Medical LLCGroup PAC ID 6406184811, 2 clinicians

Craniom LLCGroup PAC ID 3971901810, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360
• Sioux Falls Specialty Hospital Hospital, Sioux Falls, SD, CCN 430090
• Memorial Medical Center Hospital, Modesto, CA, CCN 050557
• Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708
• California Pacific Medical Center- Van Ness Campus Hospital, San Francisco, CA, CCN 050047

Merit-based Incentive Payment System (MIPS)

Final score

36.6 of 100Reported as individual

Quality

39.33

Improvement activities

0

Cost

62.62

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Bear River Valley Medical LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Tremonton, UT
  • NPI 1568952190

  ID

  Medicare reassignment Care Compare group NPD
• Craniom LLC

  • Clinical Neurophysiology Physician
  • Mesquite, NV
  • NPI 1396256293
  Medicare reassignment Care Compare group NPD
• Satellite Medical LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Folsom, CA
  • NPI 1184191256
  Medicare reassignment Care Compare group NPD
• Monitoring Associates LLC

  • Electrodiagnostic Medicine Physician
  • Las Vegas, NV
  • NPI 1174916522

  SD, TN, UT

  Medicare reassignment Care Compare group
• Neurologic, LLC

  • Contractor
  • Parker, CO
  • NPI 1699100933
  Medicare reassignment NPD
• Reel Monitoring LLC

  • Clinical Neurophysiology Physician
  • Casper, WY
  • NPI 1215572029
  Medicare reassignment NPD
• Axiom, LLC

  • Clinical Neurophysiology Physician
  • Mesquite, NV
  • NPI 1912516402
  NPD
• Phoenix Neuro Monitoring LLC

  • Neurology Physician
  • Houston, TX
  • NPI 1518663038
  NPD
• University Ear Nose and Throat Associates

  • Otolaryngology Physician
  • Salt Lake City, UT
  • NPI 1417986209
  NPD (past)
• Inalouisville6 LLC

  • Electroneurodiagnostic Specialist/Technologist
  • Bardstown, KY
  • NPI 1427602168
  NPD (past)
• Northwest Neuro Nerve Monitoring, LLC

  • Other Technician
  • Eugene, OR
  • NPI 1841581048
  NPD (past)
• Physiom Associates, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Fort Collins, CO
  • NPI 1124100763
  NPD (past)

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

• Fresno Surgery Center LP

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1205834694
  Care Compare affiliation
• Marin General Hospital

  • General Acute Care Hospital
  • Greenbrae, CA
  • NPI 1396725677
  Care Compare affiliation
• Sioux Falls Specialty Hospital, LLP

  • Special Hospital
  • Sioux Falls, SD
  • NPI 1316946809
  Care Compare affiliation
• Sutter Bay Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1740348929
  Care Compare affiliation
• Sutter Valley Hospitals

  dba Memorial Medical Center

  • General Acute Care Hospital
  • Modesto, CA
  • NPI 1699129601
  Care Compare affiliation

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1871679787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S DOUGLAS ST APT 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841023231",
            "telephone_number": "435-414-0128",
            "fax_number": "951-742-4609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S DOUGLAS ST APT 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "435-414-0128",
            "fax_number": "951-742-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 E 20th St",
            "address_purpose": "LOCATION",
            "city": "Sioux Falls",
            "state": "SD",
            "postal_code": "571051012",
            "country_code": "US",
            "telephone_number": "855-864-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOCHIZUKI",
        "first_name": "KEVIN",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PH.D. D.ABNM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "AU2231",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "4971390-4101",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU2231",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "UT",
            "license": "4971390-4101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871679787",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300015765",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871679787",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Modern Dental Professionals - Utah, PC (Monarch Dental - South Temple)

• Audiologist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Audiologist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.