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ERICSON MUTSUO HIROSE PA
NPI 1003484650
Physician Assistant - Medical in Fresno, CA

Active since June 10, 2021PECOS Enrolled
85/100
CMS Quality Rating
2823 FRESNO ST, FRESNO, CA 93721(559) 443-2682(559) 443-2681 Get Directions Write a Review

NPPES record last updated: November 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2022, Jun 10, 2021 (2 updates tracked since 2021).

About Ericson Mutsuo Hirose Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERICSON MUTSUO HIROSE PA (NPI 1003484650) is an individual medical provider in Fresno, California, licensed in California (61760) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003484650
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameERICSON MUTSUO HIROSECredential: PA
Location Address2823 FRESNO STFresno, CA 93721-1324
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Phone(559) 443-2682
Fax(559) 443-2681
Sole ProprietorNo
Enumeration DateJune 10, 2021
Last NPPES UpdateNovember 1, 20222 updates tracked since enumeration
NPPES CertifiedNovember 1, 2022
✔ NPI 1003484650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CA · 61760
Also ListedPhysician AssistantTaxonomy 363A00000X · License 61760 (CA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 61760 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2823 FRESNO ST, Fresno, CA 93721
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ericson Mutsuo Hirose Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
70 services69 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.33
Promoting Interoperability100
Improvement Activities40
Cost45.02

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE LEA STORKAN M.D.
Emergency Medicine
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
WHITNEY ANN JOHNSON PA-C
Physician Assistant (Medical)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
TAMARA CARPENTER FNP
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
MARIA FLORDELIZ ARAMBULO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6484
JASON PAUL O'BRIEN NP
Nurse Practitioner
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 499-6440
REEM ABOUSHAAR MD
Pediatrics
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 443-2682
TUSWANA MAKINI ELLSBERRY FNP
Registered Nurse (General Practice)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 459-6000
DR. DUMINDRA GURUSINGHE M.D.
Internal Medicine (Hospice and Palliative Medicine)
2823 FRESNO ST
FRESNO, CA 93721
Fresno County (559) 459-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ericson Hirose's NPI number?

The NPI number for Ericson Hirose is 1003484650. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Ericson Hirose located?

Ericson Hirose practices at 2823 Fresno St, Fresno, CA 93721. The listed phone number is (559) 443-2682.

What is Ericson Hirose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ericson Hirose enrolled in Medicare?

Yes. Ericson Hirose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ericson Hirose was last updated on November 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.