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

Kenny Tokuji Michioka

Individual provider Family Nurse Practitioner · NPI 1215559638

Kenny Tokuji Michioka is a Nurse Practitioner in Monterey, California. Qualified in 2017, 9 years ago. Practices with Doctors on Duty Medical Group, Inc, a 64-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

501 Lighthouse Ave
Monterey, CA 93940-1439
Phone: (831) 649-0770
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 467 El Camino Real, Greenfield, CA 93927-4915 — (831) 674-0112

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95007921 (CA)

Record details

NPI number1215559638
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 7, 2020
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Doctors On Duty Medical Group, Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Monterey