Organization Active NPI

Miyakawa Medical Group Inc

  • Family Medicine Physician
  • Tulare, CA
National Provider Identifier
1184765471
Registry record updated May 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MIYAKAWA MEDICAL GROUP INC
Doing business as
JON Y MIYAKAWA M.D.
Practice address
901 N Blackstone St
Tulare, CA 93274-7377
Phone
(559) 688-1992
Fax
(559) 688-7767
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2009

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

Authorized official

Name
Dr. Jon Y Miyakawa, M.D.NPI 1154425536
Title
Owner
Phone
(559) 688-1992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

901 N Blackstone St
Tulare, CA 93274-7377

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
00G519570MedicaidCA

Other names 1

  • JON Y MIYAKAWA M.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090701000009 CA Part B Supplier - Clinic/Group Practice 0749285658 Receives reassigned benefits from 1 practitioner
Practice locations: Tulare, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D0712371Miyakawa Medical Group Inc901 North Blackstone Avenue, Tulare, CA 93274Provider-performed microscopyFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICBECA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242345600000",
    "number": "1184765471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N BLACKSTONE ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747377",
            "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 ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747377",
            "telephone_number": "559-688-1992",
            "fax_number": "559-688-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIYAKAWA MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-05-15",
        "status": "A",
        "authorized_official_last_name": "MIYAKAWA",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-688-1992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G519570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JON Y MIYAKAWA M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.