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Breanna Mitsue Ito, MD

NPI 1194538777ActiveIndividual· General Practice· San Diego, CA

General Practice (MD) in San Diego, California, licensed in VA, with an NPI issued in January 2025. Enrolled in Medicare as order and referring only - internal medicine.

Overview

NPI1194538777
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJan 28, 2025
Last updated in NPPESJul 10, 2026
Certified by providerJul 10, 2026

Specialties and licenses

TaxonomyCodeLicenseState
General Practice Primary208D00000X0101290257VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Order and Referring Only - Internal Medicine (VA)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general practitioners in San Diego

All 289 general practitioners in San Diego · All general practitioners in California