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

Dr. Michael Minoru Nishida, DDS

Individual provider Dentist · NPI 1124157888

Dr. Michael Minoru Nishida, DDS is a Dentist in San Gabriel, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1295 E Las Tunas Dr
San Gabriel, CA 91776-1703
Phone: (626) 287-1153
Fax: (626) 287-1456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40179 (CA)

Record details

NPI number1124157888
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1295 E Las Tunas Dr, San Gabriel, CA 91776-1703

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