Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etnyre and Mikuni Medical Corporation

Organization Family Medicine Physician · NPI 1922091487

Etnyre and Mikuni Medical Corporation is a Family Medicine Physician in Santa Maria, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005

Practice location Address checks out

301 S Miller St Ste 214
Santa Maria, CA 93454-5205
Phone: (805) 349-1202
Fax: (805) 349-0974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G074101 (CA)

Record details

NPI number1922091487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Daugherty — Office Manager · (805) 349-1202
NPI enumeratedAugust 30, 2005
Last updated in NPPESNovember 3, 2008
Mailing address301 S Miller St, Suite 214, Santa Maria, CA 93454-5205

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