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MYRA MICHIKO MIZOKAMI M.D.
NPI 1477698694
Pediatrics - Pediatric Hematology-Oncology in San Leandro, CA

Active since February 21, 2007PECOS Enrolled
2500 MERCED ST, SAN LEANDRO, CA 94577(510) 454-1000 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Myra Michiko Mizokami M.d. NPPES

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

MYRA MICHIKO MIZOKAMI M.D. (NPI 1477698694) is an individual pediatric hematology-oncology provider in San Leandro, California, licensed in California (A84880) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477698694
Entity TypeIndividualFemale
Primary Taxonomy2080P0207X
Provider Legal NameMYRA MICHIKO MIZOKAMICredential: M.D.
Location Address2500 MERCED STSan Leandro, CA 94577-4201
Mailing Address2500 Merced StSan Leandro, CA 94577-4201 · (510) 454-1000
Phone(510) 454-1000
Sole ProprietorNo
Enumeration DateFebruary 21, 2007
Last NPPES UpdateDecember 14, 2021
✔ NPI 1477698694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License✔ Licensed in CA · A84880
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
2500 MERCED ST, San Leandro, CA 94577
Open in Google Maps ↗

Other Identifiers 1

OtherA84880CA · Physician Liscense

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myra Michiko Mizokami M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Myra Mizokami reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
15 mi
Internal Medicine
1190 VETERANS BLVD
Redwood City, CA 94063
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1639252604 (650) 299-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. SHIENA SHARMA MD
Anesthesiology
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
ANTHONY MICHAEL BATTAGLIA RN
Registered Nurse
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
DR. ELIZABETH MACERA N.P.
Nurse Practitioner
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000
MS. TSUI TAM PHARM. D.
Pharmacist
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-2747
JEFFREY LI M.D.
Radiology (Diagnostic Radiology)
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 737-3032
CHIN-HSIANG FENG
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 518-5598
MS. JESSICA RAE MARTINEZ CNM
Advanced Practice Midwife
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (925) 548-4751
DR. GRACE MINDY LEE M.D.
Emergency Medicine
2500 MERCED ST
SAN LEANDRO, CA 94577
Alameda County (510) 454-1000

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 Myra Mizokami's NPI number?

The NPI number for Myra Mizokami is 1477698694. It was assigned to this individual provider in the NPPES registry on February 21, 2007.

Where is Myra Mizokami located?

Myra Mizokami practices at 2500 Merced St, San Leandro, CA 94577. The listed phone number is (510) 454-1000.

What is Myra Mizokami's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Myra Mizokami enrolled in Medicare?

Yes. Myra Mizokami is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Myra Mizokami's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myra Mizokami reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Myra Mizokami's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Myra Mizokami was last updated on December 14, 2021. 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.