Individual provider Active NPI

Dorothy Marie Miyaoka, LMFT

  • Marriage & Family Therapist
  • Newport Beach, CA
National Provider Identifier
1528190824
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT77992 Issued in CA
Practice address
1151 Dove St Ste 105
Newport Beach, CA 92660-2805
Phone
(949) 246-0551
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT77992 CA Primary

Addresses

Primary practice location

1151 Dove St Ste 105
Newport Beach, CA 92660-2805

Mailing address

24331 Muirlands Blvd., Ste. D, Box 203
Lake Forest, CA 92630-3689
Phone (949) 246-0551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 14, 2025 through Aug 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT77992CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1528190824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24331 MUIRLANDS BLVD., STE. D, BOX 203",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926303689",
            "telephone_number": "949-246-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST STE 105",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602805",
            "telephone_number": "949-246-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAOKA",
        "first_name": "DOROTHY",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT77992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.