Keisuke Mizuno, BSN, RN
NPI 1821786674ActiveIndividual· Behavior Technician· South Pasadena, CA
Behavior Technician (BSN, RN) in South Pasadena, California, licensed in CA, with an NPI issued in April 2023.
Overview
| NPI | 1821786674 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BSN, RN |
| Sole proprietor | No |
| NPI issued | Apr 28, 2023 |
| Last updated in NPPES | Aug 6, 2026 |
| Certified by provider | Aug 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X | — | — |
| Registered Nurse | 163W00000X | RN95468505 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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