Jean T Miyashita MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G79761 Issued in CA

Legal business name

JEAN T MIYASHITA MD

Practice address

18411 Clark St Ste 103
Tarzana, CA 91356-3527

Phone

(818) 343-1700

Fax

(818) 343-1738

NPI assigned

Sep 13, 2007

Organization subpart

No

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

Authorized official

Name

Jean Miyashita, MD

Title

Owner

Phone

(818) 343-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1124213988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 103",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563527",
            "telephone_number": "818-343-1700",
            "fax_number": "818-343-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18411 CLARK ST STE 103",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563527",
            "telephone_number": "818-343-1700",
            "fax_number": "818-343-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN T MIYASHITA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "MIYASHITA",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-343-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G79761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Java Enterprises, Inc. (American Home Medical)
• Behnaz Javaherian, NP
• Saghar Javaherian, PHARMD
• Macy Javaherifar
• Samira Javaherifar
• Jeannette Valeriano Jeannette Valeriano
• Natalie Ruth Jebreel, IBCLC
• James Edward Jefferson, M.D.
• Jeffrey E Galpin MD Inc
• Elizabeth Jenkins, M.D.

• Primary Care Clinic/Center in Tarzana, CA
• Providers in Tarzana, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.