Active NPI
Miles J Yamaguchi, MD
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1215063649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G43915
- Practice address
- 12021 Wilmington Ave
Los Angeles, CA 90059-3019 - Phone
- (310) 668-4515
- Fax
- (310) 763-8909
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | G43915 | CA | Primary |
Addresses
Primary practice location
12021 Wilmington Ave
Los Angeles, CA 90059-3019
Mailing address
6706 Darkwood Dr
Riverside, CA 92506-6522
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43915 | CA | MD | General Practice Dentistry |
| G43915 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215063649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6706 DARKWOOD DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925066522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 WILMINGTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900593019",
"telephone_number": "310-668-4515",
"fax_number": "310-763-8909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMAGUCHI",
"first_name": "MILES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "G43915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
- Ardath Kai Yamaga, MD
- Naomi Yamagata (Varsh), PT
- Nathan Richard Yamagata, RN
- Dean Takao Yamaguchi, M.D., PH.D.
- Kent Takao Yamaguchi Jr., M.D.
- Sarah Kiyomi Yamaguchi, M.D.
- Thomas Yamaguchi II, OD
- Mary Nina Yamaki, REGISTERED NURSE, LI
- Diane Marie Yamamoto Skowron, PHARMD, CCH, CH, CI
- Autumn Yamamoto, ACSW, MSW, MED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.