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

Miki Stacy Ohata

Individual provider Gerontology Nurse Practitioner · NPI 1033760699

Miki Stacy Ohata is a Nurse Practitioner in Newport Beach, California. Qualified in 2019, 7 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
Specialties on file
2

Practice location Address checks out

3900 W Coast Hwy Ste 310
Newport Beach, CA 92663-4093
Phone: (949) 478-8858
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95012564 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95012564 (CA)

Record details

NPI number1033760699
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 25, 2019
Last updated in NPPESNovember 26, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Newport Beach