NPIMap

Organization Active NPI

Pih Health Physicians

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1881342087
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIH HEALTH PHYSICIANS
Practice address
2200 W 3Rd St
Los Angeles, CA 90057-1932
Phone
(213) 202-7170
Fax
(562) 967-2352
NPI assigned
Mar 16, 2022
Last updated
Mar 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2200 W 3Rd St
Los Angeles, CA 90057-1932

Mailing address

PO Box 1277
Whittier, CA 90609-1277
Phone (562) 789-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001177 CA Part B Supplier - Clinic/Group Practice 8426951328 Receives reassigned benefits from 917 practitioners
40 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Whittier, CA; Orange, CA; Upland, CA; South Gate, CA; Santa Fe Springs, CA; San Bernardino, CA; Rancho Cucamonga, CA; Palmdale, CA…

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2293336Pih Health Physicians2200 W 3Rd Street Suite 120, Los Angeles, CA 90057Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory
Tax ID family
Gallatin Med Foundation42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1881342087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1277",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906091277",
            "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": "2200 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571932",
            "telephone_number": "213-202-7170",
            "fax_number": "562-967-2352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIH HEALTH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.