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

Mr. Kevin Scott Mochizuki, PHDDABNM

Individual provider Clinical Neurophysiology Physician · NPI 1871679787

Mr. Kevin Scott Mochizuki, PHDDABNM is a Qualified Audiologist in Salt Lake City, Utah. Graduated from University of Utah School of Medicine in 2003, 23 years ago. Practices with Bear River Valley Medical LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
23
Trained at
University of Utah School of Medicine
Licensed in
CA, UT
In the registry since
2006
Specialties on file
4

Practice location Address checks out

428 S Douglas St Apt 1
Salt Lake City, UT 84102
Phone: (435) 414-0128
Fax: (951) 742-4609
Show map & directions

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

Additional practice locations (1)

  • 910 E 20th St, Sioux Falls, SD 57105-1012 — (855) 864-4322

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 4971390-4101 (UT)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence AU2231 (CA)
Audiologist Taxonomy 231H00000X · Licence AU2231 (CA)
Clinical Neurophysiology Physician Taxonomy 2084N0600X · Licence 4971390-4101 (UT)

Record details

NPI number1871679787
Entity typeIndividual (Type 1)
GenderMale
Credentials PHDDABNM
Sole proprietorYes
NPI enumeratedOctober 31, 2006
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Bear River Valley Medical Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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