WESLEY T MIZUTANI (MD) – Rheumatology Physician, NPI 1699774919

WESLEY T MIZUTANI (MD) is a healthcare provider. based in Huntington beach, California. specializing in RHEUMATOLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. A40745 (CA). The NPI Number for WESLEY T MIZUTANI (MD) is 1699774919

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
WESLEY T MIZUTANI (MD)
NPI
1699774919
Phone
(714) 968-0068
Address
19066 MAGNOLIA ST
Enumeration Date
19 July 2005
Last Update Date
1 January 2026

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Secondary Phone
7149680068
Graduation Year
1982 (44 years ago)
PAC ID
5991793317
Group Practice PAC ID
7315842002
Professional Enrollment ID
I20040504001420
Address ID
CA926462232HU19066STXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

759 RHEUMATOLOGY in CA

Provider Addresses for WESLEY T MIZUTANI (MD)

  • 19066 MAGNOLIA ST

    HUNTINGTON BEACH, CA 926462232

    Phone: (714) 968-0068

    Type: Location

  • 2925 N PALO VERDE

    LONG BEACH, CA 90815

    Phone:

    Type: Mailing

  • 2925 N Palo Verde

    Long Beach, CA 90815

    Phone: (714) 964-6229

    Type: Location

  • PO BOX 35380

    LAS VEGAS, NV 891335380

    Phone: (702) 579-3203

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $5,258.

Total Amount is formed as General ($5,258) + Research ($0) + Ownership ($0) = $5,258.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($4,588).

Total Amount

$5,258

General + Research + Ownership

Payments

18

Total payment records

General Amount

$5,258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040504001420IRheumatologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3021$0
99214Established patient office or other outpatient visit, 30-39 minutes3019$0
View full utilization report →

Insurance plans in this area (ZIP 92646)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315842002View full group profile
NameSpecialtyState
Internal MedicineCA
-CA
-CA
Family PracticeCA
-CA
-CA
Physical Therapist In Private PracticeNV
Internal MedicineCA
-CA
Internal Medicine, Geriatric MedicineCA

Reviews

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Frequently asked questions

How is WESLEY T MIZUTANI (MD) identified in CMS data?
CMS-hosted NPPES data lists WESLEY T MIZUTANI (MD) with NPI 1699774919.
Can I rely on WESLEY T MIZUTANI (MD) being an active provider?
As of the registry snapshot, WESLEY T MIZUTANI (MD) is marked active.
What taxonomy line describes WESLEY T MIZUTANI (MD)?
For research purposes, treat WESLEY T MIZUTANI (MD) as Rheumatology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect WESLEY T MIZUTANI (MD) on a map?
Expect Huntington Beach, California as a primary anchor for WESLEY T MIZUTANI (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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