MIKA WATANABE M.D.
NPI 1538540836
Student in an Organized Health Care Education/Training Program in Sylmar, CA

Active since June 11, 2015PECOS EnrolledAccepts Medicare Assignment
14445 OLIVE VIEW DR, SYLMAR, CA 91342(818) 364-3252 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mika Watanabe M.d. NPPES

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

MIKA WATANABE M.D. (NPI 1538540836) is an individual student in an organized health care education/training program in Sylmar, California and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2015).

NPPES Registry Identity

NPI1538540836
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIKA WATANABECredential: M.D.
Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437
Mailing Address14445 Olive View DrSylmar, CA 91342-1437
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2015
Enumeration DateJune 11, 2015
Last NPPES UpdateNovember 22, 2021
NPI 1538540836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
14445 OLIVE VIEW DR, Sylmar, CA 91342

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

Mika Watanabe M.d. 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 ID2264785732
PECOS Enrollment IDI20210127002589
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.

General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Internal Medicine
14445 OLIVE VIEW DR
SYLMAR, CA 91342
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342

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 Mika Watanabe's NPI number?

The NPI number for Mika Watanabe is 1538540836. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Mika Watanabe located?

Mika Watanabe practices at 14445 Olive View Dr, Sylmar, CA 91342. The listed phone number is (818) 364-3252.

What is Mika Watanabe's specialty?

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

Is Mika Watanabe enrolled in Medicare?

Yes. Mika Watanabe 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 Mika Watanabe was last updated on November 22, 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.