Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063674620 Individual Practitioner Male Practitioner

Dr. Bryan Andrew Mitton , MD, PhD

Pediatrics • Hesperia, CA

Professional Overview & Biography Verified Profile Summary

Dr. Bryan Mitton, MD, PhD is a registered healthcare professional specializing in Pediatrics in Hesperia, CA. Practice services are available at 12021 JACARANDA AVE STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12021 Jacaranda Ave Ste 101

Hesperia, CA 923454978

Telephone 7609565057
Associated Practice Facility / Clinic
🏢 Keen Medical Group, Inc. Facility NPI 1053456962

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Hesperia, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 44.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
10 Specialists

Practicing in Hesperia, CA (9612 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

CMS Verified: 2024-02-06
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA A112409

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Hematology-Oncology

NUCC Taxonomy Code: 2080P0207X

State License CA A112409

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

Secondary Practice Locations

41840 Enterprise Cir N

Temecula, CA 925905654

Phone: 9512256400

Practice Associates & Co-Workers

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

6 Associated Practitioners
Liz Bendezu , FNP

Nurse Practitioner - Family

NPI 1306091954

Family Nurse Practitioner

Sandra Limon , NP

Nurse Practitioner

NPI 1316493406

Nurse Practitioner

Ben Adom , NP

Registered Nurse

NPI 1417473034

Nurse Practitioner

Jamie Ferreira

Registered Nurse - Medical-Surgical

NPI 1790360584
Dr. Samuel Wilson , MD

Emergency Medicine

NPI 1912948019

Doctor of Medicine (M.D.)

Pamela Bryant

Nurse Practitioner - Family

NPI 1962788067

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 06, 2024

Registered at 12021 JACARANDA AVE STE 101, HESPERIA, CA 923454978 (Tel: 7609565057)

📍
Updated Business Mailing Address February 06, 2024

Registered at 12021 JACARANDA AVE STE 101, HESPERIA, CA 923454978 (Tel: 7609565057)

👤
Provider Name / Credentials Updated February 06, 2024

Recorded as BRYAN MITTON, MD, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2024

Pediatrics (License #A112409 in CA)

NPI Profile Active June 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2014

Registered at 725 WELCH RD, PALO ALTO, CA 943041601 (Tel: 6504978000)

📍
Updated Business Mailing Address June 09, 2014

Registered at 1804 EMBARCADERO RD, MC: 5548, PALO ALTO, CA 943033341 (Tel: 6504978000)

👤
Provider Name / Credentials Updated June 09, 2014

Recorded as BRYAN MITTON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2014

Pediatrics (License #A112409 in CA)

🟢
Initial NPI Registration & Enumeration June 25, 2008

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: 1063674620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2008
Last Update: February 06, 2024
Sole Proprietor: Yes

Mailing Address

12021 Jacaranda Ave Ste 101

Hesperia, CA 923454978

Phone: 7609565057

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.