Miki Stacy Ohata
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
3900 W Coast Hwy Ste 310
Newport Beach
, California 92663-4093
Miki Stacy Ohata
Nurse Practitioner - Gerontology Nurse Practitioner - Adult Health
3900 W Coast Hwy Ste 310
Newport Beach
, California 92663-4093
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About
Features
Specialties
- Nurse Practitioner - Adult Health
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Miki Stacy Ohata
- 1228 Phillips Ct
- Santa Clara, CA
- Zip : 95051-3816
- Phone :
Second Address
- Miki Stacy Ohata
- 3900 W Coast Hwy Ste 310
- Newport Beach, CA
- Zip : 92663-4093
- Phone : (949) 478-8858
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Is Miki Stacy Ohata a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 95012564 | CA |
| N | 363LG0600X | Nurse Practitioner - Gerontology | 95012564 | CA |
National Provider Identifier
| NPI | 1033760699 |
|---|---|
| Provider Name | Miki Stacy Ohata |
| First Address | Santa Clara, CA 95051-3816 |
| Second Address | Newport Beach, CA 92663-4093 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2019 |
| Last Update Date | 26/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.