Miyako Matsudaira

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3450 3Rd St
Building 1C
San Francisco, CA 94124-1443

Phone

(415) 437-3990

Fax

(415) 437-3994

NPI assigned

Apr 15, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Homeless Children'S Network

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1295871150
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1013336312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 3RD ST",
            "address_2": "BUILDING 1C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241443",
            "telephone_number": "415-437-3990",
            "fax_number": "415-437-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 3RD ST",
            "address_2": "BUILDING 1C",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241443",
            "telephone_number": "415-437-3990",
            "fax_number": "415-437-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUDAIRA",
        "first_name": "MIYAKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-3266686",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mehrdad Matloubian, MD
• Marco Andre Matos Delgado
• Ramon Matos, MA
• Mats F. Hagstrom, MD, Inc.
• Jared Hitoshi Matsuda
• Amanda Matsuhara, DDS
• Carly Matsukuma, NP
• Mayuka Matsumoto, PHARM.D
• Susan M. Matsumura, M.S.
• Brian Toshiro Matsuno, PHARMD.

• Student in an Organized Health Care Education/Training Program in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.