GARY S. MIZONO MD
NPI 1174607147
Otolaryngology in San Rafael, CA

Active since October 25, 2006
99 MONTECILLO RD, SAN RAFAEL, CA 94903(415) 444-2000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gary S. Mizono Md NPPES

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

GARY S. MIZONO MD (NPI 1174607147) is an individual otolaryngology provider in San Rafael, California, licensed in California (G42222) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174607147
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameGARY S. MIZONOCredential: MD
Location Address99 MONTECILLO RDSan Rafael, CA 94903-3308
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3429 · (510) 625-6262
Sole ProprietorNo
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174607147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in CA · G42222
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
99 MONTECILLO RD, San Rafael, CA 94903

Other Identifiers 3

Medicaid00G422220CA
Medicare UPINA48865
Medicare ID-Type Unspecified00G422220

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.

Social Worker (Clinical)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Dermatology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Anesthesiology
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Radiology (Diagnostic Radiology)
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Hospitalist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Speech-Language Pathologist
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Internal Medicine
99 MONTECILLO RD
SAN RAFAEL, CA 94903
Nurse Anesthetist, Certified Registered
99 MONTECILLO RD
SAN RAFAEL, CA 94903

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 Gary Mizono's NPI number?

The NPI number for Gary Mizono is 1174607147. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Gary Mizono located?

Gary Mizono practices at 99 Montecillo Rd, San Rafael, CA 94903. The listed phone number is (415) 444-2000.

What is Gary Mizono's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Gary Mizono 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.