Active NPI 1952301087 Individual Practitioner Male Practitioner

Simon Farid Mizyed , PA-C

Physician Assistant - Surgical • Clovis, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Simon Mizyed, PA-C is a certified Physician Assistant - Surgical practicing in Clovis, CA. With approximately 24 years of clinical experience since completing medical education in 2002, Simon Mizyed delivers high-quality medical care to the local community at 604 N MAGNOLIA AVE STE 100.

Simon Mizyed is affiliated with Central California Faculty Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

604 N Magnolia Ave Ste 100

Clovis, CA 936119205

Telephone 5593200531

Fax 5593200539

Associated Practice Facility / Clinic

🏢 Central California Faculty Medical Group, Inc. Facility NPI 1992742852

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Clovis, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +16.5 yrs vs City Avg

City Avg: 7.5 Yrs

State Avg: 14.7 Yrs

Regional Practice Density

10 Specialists

Practicing in Clovis, CA (1088 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mizyed (24 Years) 24 Yrs

Clovis Specialty Average (7.5 Years) 7.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,228	167	$7.90	$0.97
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	2,432	34	$47.00	$17.42
20610 Aspiration and/or injection of fluid from large joint	550	158	$207.65	$67.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	444	311	$209.00	$110.49
99213 Established patient office or other outpatient visit, typically 15 minutes	339	223	$134.00	$78.54
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	283	37	$500.00	$124.99
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	248	59	$15.00	$6.95
73502 X-ray of hip, 2-3 views	102	79	$98.29	$37.13
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	85	50	$257.66	$91.76
73610 X-ray of ankle, minimum of 3 views	62	37	$69.97	$29.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$343.00	$143.70
73552 X-ray of thigh bone, minimum 2 views	58	38	$76.31	$27.09
73030 X-ray of shoulder, minimum of 2 views	53	35	$81.51	$30.36
73562 X-ray of knee, 3 views	51	39	$93.92	$36.68
27447 Replacement of knee joint, both sides of knee	28	27	$751.68	$172.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$280.00	$108.75
73110 X-ray of wrist, minimum of 3 views	25	17	$68.76	$33.50
73564 X-ray of knee, 4 or more views	18	11	$93.00	$42.41
73560 X-ray of knee, 1-2 views	17	13	$65.65	$21.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	16	$96.00	$49.31
27130 Replacement of thigh bone and hip joint with prosthesis	13	13	$719.23	$164.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	3,448	184	$5.44	$1.07
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	3,000	29	$36.00	$9.32
99213 Established patient office or other outpatient visit, typically 15 minutes	671	382	$134.00	$79.85
20610 Aspiration and/or injection of fluid from large joint	593	186	$206.44	$68.20
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	254	36	$500.00	$127.41
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	168	51	$15.00	$6.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	106	$209.00	$112.09
73502 X-ray of hip, 2-3 views	103	89	$107.85	$41.94
73562 X-ray of knee, 3 views	90	66	$84.32	$37.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	72	$280.00	$112.40
73030 X-ray of shoulder, minimum of 2 views	60	42	$80.60	$31.00
73552 X-ray of thigh bone, minimum 2 views	48	39	$80.54	$29.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	29	$96.00	$50.30
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	44	34	$255.75	$94.91
73610 X-ray of ankle, minimum of 3 views	42	30	$71.29	$31.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$343.00	$146.20
73560 X-ray of knee, 1-2 views	29	22	$77.76	$29.87
20550 Injection into tendon or ligament	25	16	$159.44	$46.08
73130 X-ray of hand, minimum of 3 views	22	18	$75.00	$34.00
73110 X-ray of wrist, minimum of 3 views	18	14	$75.00	$34.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$242.00	$98.57
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$168.00	$71.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	4,275	32	$40.12	$16.84
J7329 Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg	2,850	33	$35.08	$10.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	2,560	204	$4.30	$1.14
20610 Aspiration and/or injection of fluid from large joint	635	243	$204.70	$67.75
99213 Established patient office or other outpatient visit, typically 15 minutes	634	444	$134.00	$80.48
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	209	33	$500.00	$143.95
73562 X-ray of knee, 3 views	174	124	$81.57	$37.55
73030 X-ray of shoulder, minimum of 2 views	144	101	$81.67	$31.27
73502 X-ray of hip, 2-3 views	140	105	$107.52	$41.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	119	$209.00	$113.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	59	$96.00	$50.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$242.00	$97.65
73610 X-ray of ankle, minimum of 3 views	81	44	$74.36	$33.76
73552 X-ray of thigh bone, minimum 2 views	76	49	$83.74	$30.90
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	74	74	$280.00	$117.06
73560 X-ray of knee, 1-2 views	41	30	$72.71	$30.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$343.00	$148.07
73590 X-ray of lower leg, 2 views	26	19	$75.00	$29.17
20610 Aspiration and/or injection of fluid from large joint	21	19	$196.57	$44.69
73110 X-ray of wrist, minimum of 3 views	19	12	$75.00	$38.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$84.00	$33.42
73630 X-ray of foot, minimum of 3 views	15	11	$75.00	$31.95
99221 Initial hospital inpatient care per day, typically 30 minutes	15	15	$168.00	$86.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	9,125	63	$39.81	$16.92
20610 Aspiration and/or injection of fluid from large joint	773	264	$191.54	$53.59
99213 Established patient office or other outpatient visit, typically 15 minutes	707	495	$209.65	$81.11
J1030 Injection, methylprednisolone acetate, 40 mg	597	186	$18.73	$5.68
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	303	66	$8.86	$1.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	95	$131.43	$50.34
73562 X-ray of knee, 3 views	213	149	$84.41	$36.89
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	180	29	$495.71	$136.46
73502 X-ray of hip, 2-3 views	168	128	$109.46	$40.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	106	$318.17	$115.40
73030 X-ray of shoulder, minimum of 2 views	103	73	$84.26	$31.09
73610 X-ray of ankle, minimum of 3 views	100	62	$77.59	$32.52
73552 X-ray of thigh bone, minimum 2 views	90	65	$84.68	$30.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	81	81	$415.89	$148.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$291.30	$98.75
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	56	23	$11.84	$6.92
73560 X-ray of knee, 1-2 views	53	44	$76.57	$30.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$342.94	$118.13
73630 X-ray of foot, minimum of 3 views	29	18	$77.07	$31.33
73110 X-ray of wrist, minimum of 3 views	28	18	$76.75	$37.06
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	28	22	$271.89	$88.86
72190 X-ray of pelvis, minimum of 3 views	24	17	$117.21	$38.21
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$518.67	$174.25
73590 X-ray of lower leg, 2 views	15	12	$76.60	$28.78
73000 X-ray of collar bone	14	11	$76.71	$29.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7320 Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg	2,725	25	$41.00	$16.91
J1030 Injection, methylprednisolone acetate, 40 mg	788	232	$13.18	$6.02
20610 Aspiration and/or injection of fluid from large joint	713	277	$205.63	$66.04
99213 Established patient office or other outpatient visit, typically 15 minutes	685	478	$137.05	$66.69
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	481	87	$500.00	$134.93
73562 X-ray of knee, 3 views	227	155	$99.89	$35.66
73502 X-ray of hip, 2-3 views	193	131	$111.16	$39.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	143	$209.94	$96.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	131	131	$345.56	$146.53
73030 X-ray of shoulder, minimum of 2 views	92	64	$83.96	$29.97
73610 X-ray of ankle, minimum of 3 views	87	60	$75.37	$29.98
73552 X-ray of thigh bone, minimum 2 views	84	55	$118.49	$29.91
73560 X-ray of knee, 1-2 views	82	59	$83.56	$29.45
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	66	23	$15.00	$6.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	49	$408.62	$179.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	46	46	$248.96	$96.20
73110 X-ray of wrist, minimum of 3 views	37	27	$73.49	$33.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	25	$96.00	$41.08
73060 X-ray of upper arm, minimum of 2 views	28	14	$77.36	$27.11
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	26	20	$260.62	$89.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$291.68	$121.76
73630 X-ray of foot, minimum of 3 views	25	16	$81.96	$29.97
73590 X-ray of lower leg, 2 views	19	14	$70.37	$25.79
72190 X-ray of pelvis, minimum of 3 views	18	14	$106.44	$34.28
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$302.00	$131.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	684	528	$134.42	$64.82
J1030 Injection, methylprednisolone acetate, 40 mg	684	224	$13.41	$6.22
20610 Aspiration and/or injection of fluid from large joint	599	308	$201.07	$60.96
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	480	11	$47.00	$18.58
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	428	106	$500.00	$267.40
73562 X-ray of knee, 3 views	226	172	$95.87	$33.32
73502 X-ray of hip, 2-3 views	210	163	$101.53	$34.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	151	139	$209.00	$94.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$343.00	$142.97
73560 X-ray of knee, 1-2 views	135	102	$74.79	$26.38
73030 X-ray of shoulder, minimum of 2 views	100	72	$82.20	$26.19
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	79	29	$15.00	$6.77
73110 X-ray of wrist, minimum of 3 views	63	48	$72.52	$31.60
73610 X-ray of ankle, minimum of 3 views	57	44	$72.61	$28.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$242.73	$94.46
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	51	22	$228.00	$79.53
73552 X-ray of thigh bone, minimum 2 views	47	38	$79.09	$27.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	47	$390.00	$174.09
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	30	21	$246.03	$81.79
73630 X-ray of foot, minimum of 3 views	29	23	$71.41	$26.52
72190 X-ray of pelvis, minimum of 3 views	29	23	$98.45	$29.38
73060 X-ray of upper arm, minimum of 2 views	27	14	$81.00	$26.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	22	$280.00	$117.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$302.00	$127.09
73130 X-ray of hand, minimum of 3 views	13	11	$75.00	$29.87
25600 Closed treatment of broken forearm bones	12	12	$707.00	$292.65
99284 Emergency department visit with moderate level of medical decision making	12	12	$239.00	$99.86
23600 Closed treatment of broken top of upper arm bone	11	11	$821.91	$277.18
27245 Treatment of broken neck of thigh bone with bone implant	11	11	$688.64	$170.33
27197 Closed treatment of broken and/or dislocated pelvis and/or sacrum	11	11	$294.00	$103.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	641	215	$13.04	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	577	463	$134.00	$63.84
20610 Aspiration and/or injection of fluid from large joint	421	274	$194.47	$59.19
73562 X-ray of knee, 3 views	199	152	$99.29	$31.72
73502 X-ray of hip, 2-3 views	192	154	$105.09	$35.10
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	169	71	$500.00	$142.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$343.00	$141.84
73030 X-ray of shoulder, minimum of 2 views	133	94	$82.21	$25.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	109	$209.00	$93.23
73560 X-ray of knee, 1-2 views	94	71	$75.93	$25.51
J7321 Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose	77	32	$228.00	$82.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	70	$390.00	$174.88
73610 X-ray of ankle, minimum of 3 views	66	53	$68.70	$25.72
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	57	24	$15.00	$6.77
73110 X-ray of wrist, minimum of 3 views	55	47	$71.22	$29.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	55	55	$242.00	$94.08
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	36	25	$255.44	$83.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	31	31	$280.00	$117.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	26	$302.00	$126.84
73552 X-ray of thigh bone, minimum 2 views	25	19	$74.60	$25.23
73070 X-ray of elbow, 2 views	22	19	$67.27	$22.79
23600 Closed treatment of broken top of upper arm bone	20	20	$816.50	$267.63
73630 X-ray of foot, minimum of 3 views	18	15	$75.00	$23.74
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	18	$540.00	$165.42
72190 X-ray of pelvis, minimum of 3 views	18	15	$81.50	$24.16
27245 Treatment of broken neck of thigh bone with bone implant	14	14	$722.71	$170.22
27197 Closed treatment of broken and/or dislocated pelvis and/or sacrum	11	11	$252.00	$80.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	536	460	$134.00	$64.09
J1030 Injection, methylprednisolone acetate, 40 mg	439	165	$13.16	$5.82
20610 Aspiration and/or injection of fluid from large joint	331	237	$195.12	$59.73
J7324 Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose	210	88	$498.90	$146.77
73502 X-ray of hip, 2-3 views	181	157	$103.39	$34.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	170	170	$343.00	$143.01
73562 X-ray of knee, 3 views	164	122	$98.94	$31.57
73030 X-ray of shoulder, minimum of 2 views	130	97	$81.31	$25.01
73560 X-ray of knee, 1-2 views	110	91	$76.35	$25.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	97	$209.00	$93.57
73610 X-ray of ankle, minimum of 3 views	92	65	$69.91	$26.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$242.00	$93.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	64	63	$280.00	$118.11
73110 X-ray of wrist, minimum of 3 views	51	41	$72.96	$30.90
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	49	16	$15.00	$6.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	49	48	$390.00	$175.13
73630 X-ray of foot, minimum of 3 views	30	21	$66.33	$22.93
73070 X-ray of elbow, 2 views	24	20	$69.83	$23.69
27245 Treatment of broken neck of thigh bone with bone implant	22	22	$819.09	$170.98
73130 X-ray of hand, minimum of 3 views	22	17	$75.00	$27.70
73552 X-ray of thigh bone, minimum 2 views	21	19	$87.00	$29.23
23600 Closed treatment of broken top of upper arm bone	19	19	$838.37	$280.16
72190 X-ray of pelvis, minimum of 3 views	19	18	$103.26	$30.19
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	18	18	$540.00	$166.19
73590 X-ray of lower leg, 2 views	17	14	$59.71	$20.29
20550 Injection into tendon or ligament	16	11	$146.44	$41.82
99284 Emergency department visit with moderate level of medical decision making	11	11	$239.00	$100.06

Medical Specialties & State Licenses

Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License CA 19237

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License CA 19237

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License CA 19237

Definition to come...

Hospital & Practice Group Affiliations

Central California Faculty Medical Group Inc

604 N Magnolia Ave, Clovis, CA 936119205

Phone: 5593200531

Central California Faculty Medical Group Inc

2335 E Kashian Ln, Fresno, CA 937012211

Central California Faculty Medical Group Inc

2755 Herndon Ave, Clovis, CA 936116800

Phone: 5593244000

Practice Associates & Co-Workers

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

33 Associated Practitioners

Dr. Lyman Whitlatch , MD, PhD

Neurological Surgery

NPI 1053585711

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Armen Martirosian , MD

Orthopaedic Surgery

NPI 1114087046

Doctor of Medicine (M.D.)

Dr. Eric Lindvall , DO

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1124025325

Doctor of Osteopathic Medicine (D.O.)

Caroline Urbanek

Physician Assistant - Surgical

NPI 1134766868

Dr. Nathan Hoekzema , MD

Orthopaedic Surgery - Hand Surgery

NPI 1205815164

Doctor of Medicine (M.D.)

Antonio Rubio , PA

Physician Assistant - Surgical

NPI 1205907409

Physician Assistant

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 04, 2019

Registered at 604 N MAGNOLIA AVE STE 100, CLOVIS, CA 936119205 (Tel: 5593200531)

👤

Provider Name / Credentials Updated November 04, 2019

Recorded as SIMON MIZYED, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2019

Physician Assistant (License #19237 in CA)

✅

NPI Profile Active June 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location June 18, 2014

Registered at 729 N MEDICAL CENTER DR W, 111, CLOVIS, CA 936116879 (Tel: 5593200531)

📍

Updated Business Mailing Address June 18, 2014

Registered at 2625 E DIVISADERO ST, FRESNO, CA 937211431 (Tel: 5594432682)

👤

Provider Name / Credentials Updated June 18, 2014

Recorded as SIMON MIZYED, PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2014

Physician Assistant (License #PA19237 in CA)

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Initial NPI Registration & Enumeration July 29, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1952301087

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 29, 2005

Last Update: November 04, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2625 E Divisadero St

Fresno, CA 937211431

Phone: 5594432682

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

⚠️ Medical Disclaimer

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