NPIMap

Individual provider Active NPI

Jon Y Miyakawa, M.D.

  • Family Medicine Physician
  • Tulare, CA
National Provider Identifier
1154425536
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G51957 Issued in CA
Practice address
901 N Blackstone Ave
Tulare, CA 93274
Phone
(559) 688-1992
Fax
(559) 688-7767
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G51957 CA Primary

Addresses

Primary practice location

901 N Blackstone Ave
Tulare, CA 93274

Mailing address

901 N Blackstone Ave
Tulare, CA 93274
Phone (559) 688-1992

Other identifiers 1

IdentifierTypeStateIssuer
00G519570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090701000004 CA Practitioner - Family Practice 3678624731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

901 N Blackstone St
Tulare, CA 93274-7377
Phone (559) 688-1992

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G51957CAMDFamily Medicine Physician
G51970CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miyakawa Medical Group Inc Family Medicine CurrentSince Apr 23, 1990 Accepting new patients
Tulare Healthcare & Wellness Center LP PastSince Jan 1, 2025 Accepting new patients
Adventist Health Tulare Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

901 N Blackstone St
Tulare, CA 93274
Phone (559) 688-1992

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICBECA
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICBECA/Endpoint/ICBECA

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rockport Healthcare ServicesTulare, CA, CCN 055649 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1154425536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BLACKSTONE AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "93274",
            "telephone_number": "559-688-1992",
            "fax_number": "559-688-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N BLACKSTONE AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "93274",
            "telephone_number": "559-688-1992",
            "fax_number": "559-688-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAKAWA",
        "first_name": "JON",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G51957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G519570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.