Individual provider · Type 1 NPI

Mayumi Kaneko

Nurse Practitioner · Orange, CA

NPI number 1811627656 Active

Practice location

1201 W La Veta Ave
Orange, CA 92868-4203

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95018129 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1811627656

Mayumi Kaneko's National Provider Identifier is 1811627656, issued on Jun 14, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Orange, CA. The record was last updated on Oct 23, 2025.