Individual provider Active NPI

Miyuki Kanda, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1992259626
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT84572 Issued in CA
Practice address
5855 E Naples PLZ Ste 213
Long Beach, CA 90803-5080
Phone
(562) 704-6277
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT84572 CA Primary

Addresses

Primary practice location

5855 E Naples PLZ Ste 213
Long Beach, CA 90803-5080

Mailing address

PO Box 14748
Long Beach, CA 90853-4748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 27, 2024 through Nov 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT84572CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1992259626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14748",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908534748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 E NAPLES PLZ STE 213",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035080",
            "telephone_number": "562-704-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANDA",
        "first_name": "MIYUKI",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT84572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.