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RAY NEIL MITSUNO CRNA
NPI 1083113294
Nurse Anesthetist, Certified Registered in Oakland, CA

Active since February 03, 2018Accepts Medicare Assignment
3600 BROADWAY, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ray Neil Mitsuno Crna NPPES

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

RAY NEIL MITSUNO CRNA (NPI 1083113294) is an individual nurse anesthetist, certified registered in Oakland, California, licensed in California (95000867) and active in the NPI registry since February 2018. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1083113294
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameRAY NEIL MITSUNOCredential: CRNA
Location Address3600 BROADWAYOakland, CA 94611-5730
Mailing Address225 Pomona AveEl Cerrito, CA 94530-4138 · (510) 508-3091
Phone(510) 752-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 3, 2018
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1083113294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95000867
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3600 BROADWAY, Oakland, CA 94611
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ray Neil Mitsuno Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901167246
PECOS Enrollment IDI20180228002281

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

OSAMA MOHAMED EL-SAYED MD, PHD
Internal Medicine
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
TRAM KHUONG
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-4200
CHRISTIAN F. SCHMUTZ MD
Psychiatry & Neurology (Psychiatry)
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
CHRISTOPHER AARON HUDSON RT
Respiratory Therapist, Registered
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-8886
ADAM BUIE
Pharmacist
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
DR. JUSTIN B FONG MD
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
JASMINE THAI LU MD
Student in an Organized Health Care Education/Training Program
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000
MARGARET COSGROVE DPT
Physical Medicine & Rehabilitation
3600 BROADWAY
OAKLAND, CA 94611
Alameda County (510) 752-1000

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 Ray Mitsuno's NPI number?

The NPI number for Ray Mitsuno is 1083113294. It was assigned to this individual provider in the NPPES registry on February 3, 2018.

Where is Ray Mitsuno located?

Ray Mitsuno practices at 3600 Broadway, Oakland, CA 94611. The listed phone number is (510) 752-1000.

What is Ray Mitsuno's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ray Mitsuno enrolled in Medicare?

Yes. Ray Mitsuno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ray Mitsuno was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.