Dr Jevon Chris Mitsuoka, PHARMD, PA-C - Medicare Physician Assistant in Valencia, CA

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Dr Jevon Chris Mitsuoka, PHARMD, PA-C is a medicare enrolled "Physician Assistant" in Valencia, California. He graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ventura Urgent Care Center Medical Corp and his current practice location is 29351 Madeira Ln, Valencia, California. You can reach out to his office (for appointments etc.) via phone at (661) 775-7737.

Dr Jevon Chris Mitsuoka is licensed to practice in California (license number 17474) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215928171.

Contact Information

Dr Jevon Chris Mitsuoka, PHARMD, PA-C
29351 Madeira Ln,
Valencia, CA 91354-1598
(661) 775-7737
Not Available

Map and Direction




Provider's Profile

Full NameDr Jevon Chris Mitsuoka
GenderMale
SpecialityPhysician Assistant
Experience24 Years
Location29351 Madeira Ln, Valencia, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jevon Chris Mitsuoka graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1215928171
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 08/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7517172588
  • Enrollment ID: I20180413001606

Medical Identifiers

Medical identifiers for Dr Jevon Chris Mitsuoka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215928171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 17474 (California)Primary
363AM0700XPhysician Assistant - Medical 17474 (California)Secondary
183500000XPharmacist 51802 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ventura Urgent Care Center Medical Corp23654920895

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jevon Chris Mitsuoka allows following entities to bill medicare on his behalf.
Entity NameVentura Urgent Care Center Medical Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164449971
PECOS PAC ID: 2365492089
Enrollment ID: O20050129000255
Entity NameAmerican Current Care of California a Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750573622
PECOS PAC ID: 5799854303
Enrollment ID: O20080522000420
Entity NameSC Medical, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992078000
PECOS PAC ID: 6305001439
Enrollment ID: O20120622000394
Entity NameGuardiant Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386240034
PECOS PAC ID: 5092129528
Enrollment ID: O20210125002282
Entity NameSameer Sunita Hassamal & Company, APC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710691431
PECOS PAC ID: 8426411380
Enrollment ID: O20230825001524

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jevon Chris Mitsuoka is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jevon Chris Mitsuoka, PHARMD, PA-C
5725 Ralston St Ste 101,
Ventura, CA 93003-6053

Ph: (661) 775-7737		Dr Jevon Chris Mitsuoka, PHARMD, PA-C
29351 Madeira Ln,
Valencia, CA 91354-1598

Ph: (661) 775-7737

Reviews and Comments


Physician Assistant Nurses in Valencia, CA

Michael Joseph Plotkowski, PA-C
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Phone: 813-784-8456    
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Stacey Amber Gerbrandt, PA-C
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Phone: 661-259-2500    
Julia Rae Middleton, PA-C
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Practice Location: 24035 Newhall Ranch Rd, Valencia, CA 91355
Phone: 661-291-3444    Fax: 661-291-3456
Christopher Mitchell Littmann, PA
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Medicare: Accepting Medicare Assignments
Practice Location: 24051 Newhall Ranch Rd Bldg C, Valencia, CA 91355
Phone: 661-254-6364    
Alison Elkins Brown, PA-C
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Medicare: Medicare Enrolled
Practice Location: 27875 Smyth Dr, Valencia, CA 91355
Phone: 661-257-9999    Fax: 661-294-0931
Dr. Nidfel Neretva Herrera, NMD, PA-C
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Medicare: Accepting Medicare Assignments
Practice Location: 27235 Tourney Rd Ste 2500, Valencia, CA 91355
Phone: 661-253-5851    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.