Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jevon Chris Mitsuoka, PHARMD, PA-C

Individual provider Pharmacist · NPI 1215928171

Dr. Jevon Chris Mitsuoka, PHARMD, PA-C is a Physician Assistant in Valencia, California. Qualified in 2002, 24 years ago. Practices with Ventura Urgent Care Center Medical Corp, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

29351 Madeira Ln
Valencia, CA 91354-1598
Phone: (661) 775-7737
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 17474 (CA)
Pharmacist Taxonomy 183500000X · Licence 51802 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 17474 (CA)

Record details

NPI number1215928171
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD , PA-C
Sole proprietorNo
NPI enumeratedOctober 31, 2005
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Ventura Urgent Care Center Medical Corp — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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