Kacey Chiho Miyagishima

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

31389 Issued in CA

Practice address

7601 Imperial Hwy
Downey, CA 90242-3456

Phone

(562) 385-7111

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1225664626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22372 DESTELLO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926911528",
            "telephone_number": "949-463-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423456",
            "telephone_number": "562-385-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 E Wilshire Ave",
            "address_purpose": "LOCATION",
            "city": "Fullerton",
            "state": "CA",
            "postal_code": "928321935",
            "country_code": "US",
            "telephone_number": "714-871-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIYAGISHIMA",
        "first_name": "KACEY",
        "middle_name": "CHIHO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "31389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• May Mirzaei
• Devadatt Madhukar Mishal, M.D.
• Kamille A Mitchell
• Mya Lee Mitchell
• Antoine E Mitri, MD
• Ronald Mizufuka, PHARM D.
• Alyson Kiyomi Mizuno-Kubo, PHARM.D.
• MLS Clinical & Medical Corporation
• Julia Marie Mockeridge, PT, DPT
• Alan A. Modarressi, PH.D.

• Speech-Language Pathologist in Downey, CA
• Providers in Downey, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.