NPIMap

Individual provider Active NPI

Yoshinobu Mifune, MD

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Murrieta, CA
National Provider Identifier
1902896525
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
C54792 Issued in CA
Practice address
28078 Baxter Rd
Suite 410
Murrieta, CA 92563-1402
Phone
(951) 566-9800
Fax
(951) 566-9801
NPI assigned
Oct 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C54792 CA
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X C54792 CA Primary

Addresses

Primary practice location

28078 Baxter Rd
Suite 410
Murrieta, CA 92563-1402

Mailing address

28078 Baxter Rd
Suite 410
Murrieta, CA 92563-1402
Phone (951) 290-4061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000459 CA Practitioner - Family PracticePractitioner - Other (Physician) 9830298181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 410
Murrieta, CA 92563-1404
Phone (951) 290-4061

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.63 of 100Reported as individual
Quality
77.24
Improvement activities
40
Cost
65.26

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue107
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care & Hyperbaric Specialists, PC Family Medicine CurrentSince Jan 1, 2013 Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients
Redlands Community Hospital Past Accepting new patients
Integrated Wound Specialists of Pennsylvania, LLC Family Medicine Past Accepting new patients
St Mary Medical Center Family Medicine Past Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients
Sacred Heart Healthcare System Family Medicine Past Accepting new patients
St Luke's Hospital Past Accepting new patients
Trinitas Regional Medical Center Past Accepting new patients

Locations

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

28078 Baxter Rd
Ste 410
Murrieta, CA 92563
Phone (951) 290-4061

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: yoshinobumifune@direct-address.org
  • Direct secure messaging: ymifune131494@direct.llu.edu

Organizations & group practices 10

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1902896525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 410",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-290-4061",
            "fax_number": "951-290-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD",
            "address_2": "SUITE 410",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631402",
            "telephone_number": "951-566-9800",
            "fax_number": "951-566-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIFUNE",
        "first_name": "YOSHINOBU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C54792",
            "primary": false
        },
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "CA",
            "license": "C54792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.