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DR. STANLEY MAKOTO JITSUMYO D.D.S.
NPI 1639277627
Dentist - General Practice in Clovis, CA

Active since September 21, 2006
200 W BULLARD AVE, SUITE D-3, CLOVIS, CA 93612(559) 298-6684 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Stanley Makoto Jitsumyo D.d.s. NPPES

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

DR. STANLEY MAKOTO JITSUMYO D.D.S. (NPI 1639277627) is an individual general practice provider in Clovis, California, licensed in California (27441) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1639277627
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. STANLEY MAKOTO JITSUMYOCredential: D.D.S.
Location Address200 W BULLARD AVE, SUITE D-3Clovis, CA 93612-7610
Mailing Address200 W Bullard Ave, Suite D-3Clovis, CA 93612-7610 · (559) 298-6684
Phone(559) 298-6684
Sole ProprietorYes
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639277627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 27441
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
200 W BULLARD AVE, Clovis, CA 93612
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROSS M NISHIJIMA DPM
Podiatrist
200 W BULLARD AVE, SUITE D-2
CLOVIS, CA 93612
Fresno County (559) 298-3668
DR. JENNIFER REA HENRIQUE D.C.
Chiropractor
200 W BULLARD AVE, SUITE E-4
CLOVIS, CA 93612
Fresno County (559) 297-4000
DR. LINDA G. KELSEY PH.D.
Psychologist (Clinical)
200 W BULLARD AVE, STE. F2
CLOVIS, CA 93612
Fresno County (559) 960-7383
MILTON RUTH L.AC.
Acupuncturist
200 W BULLARD AVE, A4
CLOVIS, CA 93612
Fresno County (559) 322-9821
MICHAEL A MANGHERA LCSW
Social Worker (Clinical)
200 W BULLARD AVE, SUITE F2
CLOVIS, CA 93612
Fresno County (559) 298-3717

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 Stanley Jitsumyo's NPI number?

The NPI number for Stanley Jitsumyo is 1639277627. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Stanley Jitsumyo located?

Stanley Jitsumyo practices at 200 W Bullard Ave Suite D-3, Clovis, CA 93612. The listed phone number is (559) 298-6684.

What is Stanley Jitsumyo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Stanley Jitsumyo 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.