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

Mrs. Charlotte Maria Primo Mizuta, PMH-NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437791381

Mrs. Charlotte Maria Primo Mizuta, PMH-NP is a Nurse Practitioner in Santa Ana, California. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

2001 E 4th St Ste 200
Santa Ana, CA 92705-3916
Phone: (714) 824-8140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 95012967 (CA)

Record details

NPI number1437791381
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMH-NP
Sole proprietorNo
NPI enumeratedOctober 11, 2019
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020

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)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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