NPIMap

Organization Active NPI

Pih Health Physicians

  • Family Medicine Physician
  • La Mirada, CA
National Provider Identifier
1982857967
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PIH HEALTH PHYSICIANS
Doing business as
PIH Health Physicians
Practice address
12675 La Mirada Blvd
Suite 201, 300, 301, 401
La Mirada, CA 90638-2200
Phone
(562) 903-7339
Fax
(562) 944-8631
NPI assigned
Nov 4, 2008
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 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 , Physicians Services
Phone
(562) 789-5401

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU
Family Medicine Physician 207Q00000X NU Primary
Obstetrics & Gynecology Physician 207V00000X NU
Ophthalmology Physician 207W00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

12675 La Mirada Blvd
Suite 201, 300, 301, 401
La Mirada, CA 90638-2200

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
6529OtherCALICENSE

Other names 1

  • PIH Health Physicians Doing business as

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

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 40

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1982857967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O 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": "12675 LA MIRADA BLVD",
            "address_2": "SUITE 201, 300, 301, 401",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382200",
            "telephone_number": "562-903-7339",
            "fax_number": "562-944-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIH HEALTH PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "MIYAMOTO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT , PHYSICIANS SERVICES",
        "authorized_official_telephone_number": "562-789-5401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6529",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PIH Health Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in La Mirada, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.