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

Ericson Mutsuo Hirose, PA

Individual provider Physician Assistant · NPI 1003484650

Ericson Mutsuo Hirose, PA is a Physician Assistant in Fresno, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2823 Fresno St
Fresno, CA 93721-1324
Phone: (559) 443-2682
Fax: (559) 443-2681
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 61760 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 61760 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 61760 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003484650
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 10, 2021
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Other providers in Fresno