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Mika Diane Nagamoto

Case Manager/Care Coordinator β€’ Pacoima, CA

Active NPI 1336728005 Individual Practitioner Female Practitioner
Practice location in NPPES

12450 Van Nuys Blvd Ste 200
Pacoima, CA 913311393

Call 8188961161 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12450 Van Nuys Blvd Ste 200

Pacoima, CA 913311393

Telephone 8188961161
Fax 8188965069
Organization at the Same NPPES Address or Phone
Hillview Mental Health Center, Inc. Facility NPI 1043345796

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Pacoima and California

119 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Pacoima, CA (22,786 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Pacoima

0% of these 119 clinicians have the CMS telehealth indicator.

0% of these 119 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-09
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Rehabilitation Practitioner

NUCC Taxonomy Code: 225400000X

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
7068 (CA)
Medicaid ID
7420 (CA)
Medicaid ID
6758 (CA)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Amy Bergholtz , BS

Counselor - Mental Health

NPI 1124159454

Bachelor of Science

Obinna Metu

Nurse Practitioner - Psychiatric/Mental Health

NPI 1033835327

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 09, 2021

Registered at 12450 VAN NUYS BLVD STE 200, PACOIMA, CA 913311393 (Tel: 8188961161)

πŸ“
Updated Business Mailing Address June 09, 2021

Registered at 12450 VAN NUYS BLVD STE 200, PACOIMA, CA 913311393 (Tel: 8188961161)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2021

Case Manager/Care Coordinator

βœ…
NPI Profile Active April 07, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 07, 2021

Registered at 16360 ROSCOE BLVD FL 2, VAN NUYS, CA 914061219 (Tel: 8189014830)

πŸ“
Business Mailing Address (Initial Record) April 07, 2021

Registered at 9570 CORONADO CT, PARKER, CO 801345506 (Tel: 3035799742)

πŸ‘€
Provider Name / Credentials (Initial Record) April 07, 2021

Recorded as MIKA NAGAMOTO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2021

Rehabilitation Practitioner

🟒
Initial NPI Registration & Enumeration April 07, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1336728005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2021
Last Update: June 09, 2021
Sole Proprietor: No

Mailing Address

12450 Van Nuys Blvd Ste 200

Pacoima, CA 913311393

Phone: 8188961161

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.