Michiko Kayahara, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

731110 Issued in CA

Practice address

5451 La Palma Ave Ste 47
La Palma, CA 90623-1732

Phone

(714) 562-8560

NPI assigned

Oct 10, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michiko.kayahara.1@21072.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/21072/brand/1/csg/1/fhir/r4

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.

• Southern California Kidney Consultants Inc.

  • Nephrology Physician
  • Garden Grove, CA
  • NPI 1205934783
  Medicare reassignment NPD

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1033513635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 CRESCENT AVE",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "90630",
            "telephone_number": "714-686-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5451 LA PALMA AVE STE 47",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231732",
            "telephone_number": "714-562-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 S Atlantic Blvd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Monterey Park",
            "state": "CA",
            "postal_code": "917546303",
            "country_code": "US",
            "telephone_number": "626-965-9078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAYAHARA",
        "first_name": "MICHIKO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "731110",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "731110",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "731110",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "731110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chao Hung Kao, MSW, RN, FNP-C
• Merve Karabulut, M.D.
• Karis Medical Group la Palma
• Elena Karkaletsis
• Ami Kawatkar, PHARMD
• Kevin Trinh, M.D., a Professional Medical Corporation
• Sabeen Khalid, OD
• Cemone Khan, O.D.
• Caleb Kil
• Namju Kim Shin, AGNP-C

• Adult Health Nurse Practitioner in La Palma, CA
• Providers in La Palma, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.