NPIMap

Organization Active NPI

Pih Health Physicians

  • Surgery Physician
  • Downey, CA
National Provider Identifier
1255713566
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
PIH HEALTH PHYSICIANS
Practice address
11480 Brookshire Ave Ste 111&204
Downey, CA 90241-5018
Phone
(562) 904-1651
Fax
(562) 904-1656
NPI assigned
Jun 23, 2015
Last updated
Jan 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Authorized official

Name
Keith S. Miyamoto, M.D.
Title
President
Phone
(562) 789-5401

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Allergy & Immunology (Internal Medicine) Physician 207RA0201X
Cardiovascular Disease Physician 207RC0000X
Gastroenterology Physician 207RG0100X
Hematology & Oncology Physician 207RH0003X
Rheumatology Physician 207RR0500X
Otolaryngology Physician 207Y00000X
Surgery Physician 208600000X Primary

Addresses

Primary practice location

11480 Brookshire Ave Ste 111&204
Downey, CA 90241-5018

Mailing address

PO Box 1277
Whittier, CA 90609-1277
Phone (562) 789-5401

Other practice location 1

11480 Brookshire Ave Ste 111&204
Downey, CA 90241-5018
Phone (562) 904-1651

Other names 1

  • Bright Health Physicians of PIH Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001177 CA Part B Supplier - Clinic/Group Practice 8426951328 Receives reassigned benefits from 917 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whittier, CA; Orange, CA; Upland, CA; South Gate, CA; Santa Fe Springs, CA; San Bernardino, CA; Rancho Cucamonga, CA; Palmdale, CA…

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory

Locations

11480 Brookshire Ave
Ste 111204
Downey, CA 90241
Phone (562) 904-1651

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674172800000",
    "number": "1255713566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906091277",
            "telephone_number": "562-789-5401",
            "fax_number": "562-789-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11480 BROOKSHIRE AVE STE 111&204",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415018",
            "telephone_number": "562-904-1651",
            "fax_number": "562-904-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11480 Brookshire Ave Ste 111&204",
            "address_purpose": "LOCATION",
            "city": "Downey",
            "state": "CA",
            "postal_code": "902415018",
            "country_code": "US",
            "telephone_number": "562-904-1651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIH HEALTH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-789-5401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Health Physicians of PIH",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Downey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.