Individual provider Active NPI

Miyako Igari, M.D.

  • Cardiovascular Disease Physician
  • Orange, CA
National Provider Identifier
1225398787
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A132276 Issued in CA
Practice address
1140 W la Veta Ave Ste 400
Orange, CA 92868-4226
Phone
(949) 774-7777
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A132276 CA Primary

Addresses

Primary practice location

1140 W la Veta Ave Ste 400
Orange, CA 92868-4226

Mailing address

1140 W la Veta Ave Ste 400
Orange, CA 92868-4226
Phone (949) 774-7777

Other practice location 1

1140 W La Veta Ave Ste 400
Orange, CA 92868-4226
Phone (949) 774-7777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210927002786 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719318914 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132276CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Medical Center & Urgent Care Inc Single Specialty CurrentSince Feb 1, 2023 Accepting new patients
Trustees of Columbia University in the City of New York Single Specialty Current Accepting new patients
Advanced Reflection Inc Past Accepting new patients

Locations

5300 Santa Monica Blvd
Ste 304
Los Angeles, CA 90029
Phone (323) 300-5266

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1225398787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684226",
            "telephone_number": "949-774-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W LA VETA AVE STE 400",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684226",
            "telephone_number": "949-774-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 W La Veta Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684226",
            "country_code": "US",
            "telephone_number": "949-774-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGARI",
        "first_name": "MIYAKO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A132276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.