NPIMap

Organization Active NPI

Pih Health Physicians

  • Family Medicine Physician
  • Downey, CA
National Provider Identifier
1265951099
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIH HEALTH PHYSICIANS
Practice address
11411 Brookshire Ave Ste 207
Downey, CA 90241-5004
Phone
(562) 904-4411
Fax
(562) 904-5353
NPI assigned
Sep 13, 2017
Last updated
Feb 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Authorized official

Name
Dr. Keith S. Miyamoto, MD
Title
President
Phone
(562) 789-5401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU

Addresses

Primary practice location

11411 Brookshire Ave Ste 207
Downey, CA 90241-5004

Mailing address

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

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
Tax ID family
Gallatin Med Foundation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Locations

11411 Brookshire Ave
Ste 207
Downey, CA 90241
Phone (562) 904-4411

11411 Brookshire Ave
Ste 302
Downey, CA 90241
Phone (562) 869-1121

12291 Washington Blvd
Ste 300
Whittier, CA 90606
Phone (562) 945-7252

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1265951099",
    "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": "11411 BROOKSHIRE AVE STE 207",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902415004",
            "telephone_number": "562-904-4411",
            "fax_number": "562-904-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIH HEALTH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 26, 2020; 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.