Kimberly Reiko Miyamoto, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

Practice address

24533 Cadiz Dr
Lomita, CA 90717-1156

Phone

(310) 749-7687

NPI assigned

Aug 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Internal Medicine and Nephrology Med. Group Inc.

  • Nephrology Physician
  • Torrance, CA
  • NPI 1497759104

  Nutrition, Renal

  Medicare reassignment NPD

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565395200000",
    "number": "1861048456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24533 CADIZ DR",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171156",
            "telephone_number": "310-749-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24533 CADIZ DR",
            "city": "LOMITA",
            "state": "CA",
            "postal_code": "907171156",
            "telephone_number": "310-749-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAMOTO",
        "first_name": "KIMBERLY",
        "middle_name": "REIKO",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Browyn Lenese Miller, N/A
• Patricia Minnitti, PH.D., MFT
• Saori Minota, SAORI MINOTA
• Misung Paik DDS a Professional Corp
• Magalie Mittwer
• Susan Lynn Mizrahi, LCSW
• Jenniffer Yesenia Mogrovejo, M.A. MFT
• Margorie Skarleth Molina-Garcia
• Momentum Agencies
• Robert Joseph Monkhouse

• Renal Nutrition Registered Dietitian in Lomita, CA
• Providers in Lomita, CA by specialty
• Renal Nutrition Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; 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.

Verify at the official NPI Registry.