Active NPI
Aimee Y Miyazawa, ATC
- Athletic Trainer
- Torrance, CA
National Provider Identifier
1164813341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 24-00500
- Practice address
- 20501 Earl St. Ste. 3
Torrance, CA 90503 - Phone
- (310) 975-3930
- NPI assigned
- Feb 10, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 24-00500 | KS | Primary |
Addresses
Primary practice location
20501 Earl St. Ste. 3
Torrance, CA 90503
Mailing address
20501 Earl St. Ste. 3
Torrance, CA 90503
Phone (310) 975-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24-00500 | KS | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1164813341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20501 EARL ST. STE. 3",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90503",
"telephone_number": "310-975-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20501 EARL ST. STE. 3",
"city": "TORRANCE",
"state": "CA",
"postal_code": "90503",
"telephone_number": "310-975-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYAZAWA",
"first_name": "AIMEE",
"middle_name": "Y",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-10",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "KS",
"license": "24-00500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrance, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.