Whalio Doctors

NPI 1215928171

Jevon Chris Mitsuoka, PHARMDPAC

Practitioner Physician Assistant Valencia, CA

Practice location

Address
29351 Madeira Ln, Valencia, CA 91354-1598
Phone
(661) 775-7737
Mailing address
5725 Ralston St STE 101, Ventura, CA 93003-6053

Registered specialties (3)

Physician Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 17474 (CA)
Pharmacist
Pharmacy Service Providers Taxonomy 183500000X Licence 51802 (CA)
Medical Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 17474 (CA)

Registry record

NPI
1215928171
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Oct 2005
Record last updated
22 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.