Active NPI
Pih Health Physicians
- Cardiovascular Disease Physician
- Lancaster, CA
National Provider Identifier
1558027441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PIH HEALTH PHYSICIANS
- Practice address
- 73723 20TH St. West
Lancaster, CA 93534-4784 - Phone
- (661) 674-4221
- Fax
- (661) 674-4220
- NPI assigned
- Nov 15, 2021
- Organization subpart
- No
NPPES NPI Registry
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
73723 20TH St. West
Lancaster, CA 93534-4784
Mailing address
PO Box 1277
Los Angeles, CA 90001-0277
Phone (562) 789-5401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 40
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National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 20
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- Physician Assistant
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636934400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638921600000",
"number": "1558027441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1277",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900010277",
"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": "73723 20TH ST. WEST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344784",
"telephone_number": "661-674-4221",
"fax_number": "661-674-4220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIH HEALTH PHYSICIANS",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-15",
"last_updated": "2021-12-08",
"certification_date": "2021-12-02",
"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": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.