Individual provider Active NPI

Miho Yoshida, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Fresno, CA
National Provider Identifier
1467759704
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A11868 Issued in CA
Practice address
5339 N Fresno St Ste 107D
Fresno, CA 93710-6851
Phone
(559) 825-1112
Fax
(559) 203-7550
NPI assigned
Feb 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 036136332 IL
Family Medicine Physician 207Q00000X A-1912-15 NM
Family Medicine Physician 207Q00000X 20A11868 CA
Family Medicine Physician 207Q00000X 11868 AR
Family Medicine Physician 207Q00000X 006147 AZ
Family Medicine Physician 207Q00000X 036136332 IL
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A11868 CA Primary

Addresses

Primary practice location

5339 N Fresno St Ste 107D
Fresno, CA 93710-6851

Mailing address

2135 E Vermont Ave
Fresno, CA 93720-3920
Phone (559) 825-1112

Other practice location 1

2135 E Vermont Ave
Fresno, CA 93720-3920
Phone (559) 825-1112

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
I20230306002154 CA Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 9739329871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1175 W Shaw Ave
Fresno, CA 93711-3704
Phone (559) 825-1112

7600 N Ingram Ave
Suite 132
Fresno, CA 93711-5824
Phone (559) 825-1112

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11868ARMDFamily Medicine Physician
A-1912-15NMMDFamily Medicine Physician
006147AZMDPhysical Therapist
11868CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Osteopathic Holistic Health Inc CurrentSince Nov 30, 2022 Accepting new patients

Locations

5339 N Fresno St
Ste 107D
Fresno, CA 93710
Phone (559) 225-2494

1175 W Shaw Ave
Fresno, CA 93711
Phone (559) 369-7833

7600 N Ingram Ave
Ste 132
Fresno, CA 93711
Phone (559) 825-1112

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1467759704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 E VERMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203920",
            "telephone_number": "559-825-1112",
            "fax_number": "559-203-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5339 N FRESNO ST STE 107D",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106851",
            "telephone_number": "559-825-1112",
            "fax_number": "559-203-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2135 E Vermont Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203920",
            "country_code": "US",
            "telephone_number": "559-825-1112",
            "fax_number": "559-203-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOSHIDA",
        "first_name": "MIHO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "IL",
            "license": "036136332",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-1912-15",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "11868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "006147",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036136332",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A11868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.