Individual provider Active NPI

Brian R Miura, MD

  • Emergency Medical Services (Emergency Medicine) Physician
  • Torrance, CA
National Provider Identifier
1801820527
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
G80522 Issued in CA
Practice address
2900 Lomita Blvd
Torrance, CA 90505-5102
Phone
(310) 784-3740
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X G80522 CA Primary

Addresses

Primary practice location

2900 Lomita Blvd
Torrance, CA 90505-5102

Mailing address

2900 Lomita Blvd
Torrance, CA 90505-5102
Phone (310) 283-2609

Other identifiers 1

IdentifierTypeStateIssuer
00G805220MedicaidCA

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
I20100326000385 CA Practitioner - Emergency Medicine 5395871560 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, San Francisco School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Torrance Health Association IncGroup PAC ID 1355302134, 298 clinicians

Practice addresses (Care Compare)

2110 E El Segundo Blvd
El Segundo, CA 90245-4502

514 N Prospect Ave
FL 4
Redondo Beach, CA 90277-3040
Phone (310) 750-3300

855 Manhattan Beach Blvd
Suite 101
Manhattan Beach, CA 90266-4975
Phone (310) 939-7873

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G80522CAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Torrance Health Association Inc CurrentSince Sep 1, 2014 Accepting new patients
Torrance Emergency Physicians, Inc CurrentSince Apr 1, 2014 Accepting new patients
UCLA Medical Group Past Accepting new patients

Locations

2110 E El Segundo Blvd
Ste 100
El Segundo, CA 90245
Phone (310) 517-7010

855 Manhattan Beach Blvd
Ste 101
Manhattan Beach, CA 90266
Phone (310) 257-0508

514 N Prospect Ave
Fl 4
Redondo Beach, CA 90277
Phone (310) 750-3300

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

2900 Lomita Blvd
Torrance, CA 90505
Phone (310) 257-7260

23326 Hawthorne Blvd
Ste 200
Torrance, CA 90505
Phone (310) 257-7205

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1801820527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055102",
            "telephone_number": "310-283-2609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 LOMITA BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905055102",
            "telephone_number": "310-784-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIURA",
        "first_name": "BRIAN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "G80522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G805220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.