DR. MERVYN K OTSUKA DDS
NPI 1053427138
Dentist - General Practice in San Bruno, CA

Q: What is Mervyn Otsuka's NPI number?

The NPI number for Mervyn Otsuka is 1053427138. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Q: What is Mervyn Otsuka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Mervyn Otsuka was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 22, 2006

931 SAN BRUNO AVE W, SUITE 5, SAN BRUNO, CA 94066(650) 588-6740 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mervyn K Otsuka Dds NPPES

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

DR. MERVYN K OTSUKA DDS (NPI 1053427138) is an individual general practice provider in San Bruno, California, licensed in California (17531) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1053427138

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. MERVYN K OTSUKACredential: DDS

Location Address931 SAN BRUNO AVE W, SUITE 5San Bruno, CA 94066-3440

Mailing Address931 San Bruno Ave W, Suite 5San Bruno, CA 94066-3440 · (650) 588-6740

Phone(650) 588-6740

Sole ProprietorYes

Enumeration DateAugust 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053427138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 17531

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

931 SAN BRUNO AVE W, San Bruno, CA 94066

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Other Providers at the Same Location NPPES 6

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

DR. LES CHUI DC

Chiropractor

931 SAN BRUNO AVE W, #1
SAN BRUNO, CA 94066

San Mateo County (650) 872-2229

TERESA VOLLERT

Community Health Worker

931 SAN BRUNO AVE W
SAN BRUNO, CA 94066

San Mateo County (650) 832-6797

DR. STEVEN RICHARD PULIDO D.D.S.

Dentist (General Practice)

931 SAN BRUNO AVE W, SUITE 5
SAN BRUNO, CA 94066

San Mateo County (650) 583-3412

EDGEWOOD CENTER FOR CHILDREN AND FAMILIES

Community/Behavioral Health

931 SAN BRUNO AVE W
SAN BRUNO, CA 94066

San Mateo County (650) 832-6900

DR. NANCY MADERA D.M.D.

Dentist (General Practice)

931 SAN BRUNO AVE W, SUITE 6
SAN BRUNO, CA 94066

San Mateo County (650) 737-0862

FRANK L NG DDS

Dentist (General Practice)

931 SAN BRUNO AVE W, SUITE 8
SAN BRUNO, CA 94066

San Mateo County (650) 588-8548

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 Mervyn Otsuka's NPI number?

The NPI number for Mervyn Otsuka is 1053427138. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Mervyn Otsuka located?

Mervyn Otsuka practices at 931 San Bruno Ave W Suite 5, San Bruno, CA 94066. The listed phone number is (650) 588-6740.

What is Mervyn Otsuka's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Mervyn Otsuka was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.