Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Etnyre and Mikuni Medical Corporation

Organization Family Medicine Physician · NPI 1922091487

Etnyre and Mikuni Medical Corporation provides Family Medicine Physician services in Santa Maria, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005

Practice location Address checks out

301 S Miller St Ste 214
Santa Maria, CA 93454-5205 Not confirmed with CMS for 17 years — call before visiting
Phone: (805) 349-1202
Fax: (805) 349-0974
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G074101 (CA)

Record details

NPI number1922091487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Diana Daugherty — Office Manager · (805) 349-1202
NPI enumeratedAugust 30, 2005
Last updated in NPPESNovember 3, 2008
Mailing address301 S Miller St, Suite 214, Santa Maria, CA 93454-5205

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