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MIA KUNITOMO MD
NPI 1376163717
Psychiatry & Neurology - Psychiatry in Sylmar, CA

Active since April 24, 2020PECOS Enrolled
14445 OLIVE VIEW DR, SYLMAR, CA 91342(747) 210-3000 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2023, Jun 22, 2021, Jul 9, 2020 and 1 more (4 updates tracked since 2020).

About Mia Kunitomo Md NPPES

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

MIA KUNITOMO MD (NPI 1376163717) is an individual psychiatry provider in Sylmar, California, licensed in California (A177843) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376163717
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMIA KUNITOMOCredential: MD
Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437
Mailing Address14445 Olive View DrSylmar, CA 91342-1437
Phone(747) 210-3000
Sole ProprietorYes
Enumeration DateApril 24, 2020
Last NPPES UpdateJune 13, 20234 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
✔ NPI 1376163717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · A177843
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSpecialistTaxonomy 174400000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14445 OLIVE VIEW DR, Sylmar, CA 91342
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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 (PECOS)

Mia Kunitomo Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91342 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555
DENNIS POON
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3000
SERENA KE MD
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
DR. PAUL I LIU M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Los Angeles County (818) 364-4033
DR. ARTHUR JENG M.D.
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Los Angeles County (818) 364-3205
MRS. CECILIA CORONADO PTA
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-4245
DR. RAMSES CESAR DELGADILLO MD
Internal Medicine
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (747) 210-3205
COUNTY OF LOS ANGELES AUDITOR CONTROLLER
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Los Angeles County (818) 364-1555

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 Mia Kunitomo's NPI number?

The NPI number for Mia Kunitomo is 1376163717. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Where is Mia Kunitomo located?

Mia Kunitomo practices at 14445 Olive View Dr, Sylmar, CA 91342. The listed phone number is (747) 210-3000.

What is Mia Kunitomo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mia Kunitomo enrolled in Medicare?

Yes. Mia Kunitomo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mia Kunitomo was last updated on June 13, 2023. 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.