KEYON MITCHELL
NPI 1497206031
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Q: What is Keyon Mitchell's NPI number?

The NPI number for Keyon Mitchell is 1497206031. It was assigned to this individual provider in the NPPES registry on October 19, 2016.

Q: What is Keyon Mitchell's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Keyon Mitchell was last updated on January 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.

Active since October 19, 2016PECOS Enrolled

4610 X ST, SACRAMENTO, CA 95817(916) 816-9853 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 13, 2023, Oct 19, 2016 (2 updates tracked since 2016).

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About Keyon Mitchell NPPES

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

KEYON MITCHELL (NPI 1497206031) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497206031

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameKEYON MITCHELL

Location Address4610 X STSacramento, CA 95817-2200

Mailing Address2709 39th StSacramento, CA 95817-2916 · (213) 706-8054

Phone(916) 816-9853

Sole ProprietorNo

Enumeration DateOctober 19, 2016

Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration

✔ NPI 1497206031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4610 X ST, Sacramento, CA 95817

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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)

Keyon Mitchell 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.

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.

LESLIE OLIVARES VALENCIA

Student in an Organized Health Care Education/Training Program