Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639277627 Individual Practitioner Male Practitioner

Dr. Stanley Makoto Jitsumyo , DDS

Dentist - General Practice • Clovis, CA

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Jitsumyo, DDS is a registered healthcare professional specializing in Dentist - General Practice in Clovis, CA. Practice services are available at 200 W BULLARD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200 W Bullard Ave
Suite D-3

Clovis, CA 936127610

Telephone 5592986684

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Clovis, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
36 Specialists

Practicing in Clovis, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 27441

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1255431896

Doctor of Podiatric Medicine

NPI 1336397728

Doctor of Chiropractic

Dr. Linda Kelsey , PhD

Psychologist - Clinical

NPI 1457444903

Doctor of Philosophy (Ph.D.)

Milton Ruth , LAC

Acupuncturist

NPI 1528119971

Licensed Acupuncturist

Michael Manghera , LCSW

Social Worker - Clinical

NPI 1700981909

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 200 W BULLARD AVE, SUITE D-3, CLOVIS, CA 936127610 (Tel: 5592986684)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200 W BULLARD AVE, SUITE D-3, CLOVIS, CA 936127610 (Tel: 5592986684)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STANLEY JITSUMYO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #27441 in CA)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639277627
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

200 W Bullard Ave, Suite D-3

Clovis, CA 936127610

Phone: 5592986684

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.