Keisuke Mizuno, BSN, RN is a
Behavior Technician based in South Pasadena, California. Keisuke Mizuno is licensed to practice in * (Not Available) (license number ) and his current practice location is
99 Pasadena Ave Ste 10c, South Pasadena, California. He can be reached at his office (for appointments etc.) via phone at
(619) 275-4525.
NPI number for Keisuke Mizuno is 1821786674 and his current mailing address is 99 Pasadena Ave Ste 10c, South Pasadena, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1821786674.
Provider's Profile
| Full Name | Keisuke Mizuno |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 99 Pasadena Ave Ste 10c, South Pasadena, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821786674
- Provider Enumeration Date: 04/28/2023
- Last Update Date: 08/06/2026
Medical Identifiers
Medical identifiers for Keisuke Mizuno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821786674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | RN95468505 (California) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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. Keisuke Mizuno is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Keisuke Mizuno, BSN, RN 99 Pasadena Ave Ste 10c, South Pasadena, CA 91030-6142 Ph: Not Available | Keisuke Mizuno, BSN, RN 99 Pasadena Ave Ste 10c, South Pasadena, CA 91030-6142 Ph: (619) 275-4525 |
Reviews and Comments