Organization Active NPI

Neal T. Miyasaki, MD, Apc

  • Multi-Specialty Clinic/Center
  • San Francisco, CA
National Provider Identifier
1750691580
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
G27668 Issued in CA
Legal business name
NEAL T. MIYASAKI, MD, APC
Practice address
3838 California St
# 409
San Francisco, CA 94118-1522
Phone
(415) 387-7800
Fax
(415) 387-0743
NPI assigned
Oct 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. Neal T. Miyasaki, M.D.
Title
Physician/Owner
Phone
(415) 387-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X G27668 CA Primary

Addresses

Primary practice location

3838 California St
# 409
San Francisco, CA 94118-1522

Mailing address

3838 California St
# 409
San Francisco, CA 94118-1522
Phone (415) 387-7800

Other identifiers 1

IdentifierTypeStateIssuer
00G276680MedicaidCA

National Provider Directory

National Provider Directory

Locations

3838 California St
Rm 409
San Francisco, CA 94118
Phone (415) 387-7800

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1750691580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "# 409",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181522",
            "telephone_number": "415-387-7800",
            "fax_number": "415-387-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 CALIFORNIA ST",
            "address_2": "# 409",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181522",
            "telephone_number": "415-387-7800",
            "fax_number": "415-387-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL T. MIYASAKI, MD, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "MIYASAKI",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "415-387-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "G27668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G276680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.