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

Individual provider Internal Medicine Physician · NPI 1003917287

Dr. Mitchell Nishimoto, MD is an Internal Medicine in Van Nuys, California. Graduated from University of California, Davis School of Medicine in 1991, 35 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
35
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

15243 Vanowen St Ste 406
Van Nuys, CA 91405-3605
Phone: (818) 785-3889
Fax: (818) 780-2106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence G76976 (CA)

Record details

NPI number1003917287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 26, 2006
Last updated in NPPESSeptember 25, 2018
Mailing address15243 Vanowen St, Ste 408, Van Nuys, CA 91405-3658

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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