KENICHI T. MIYATA MD INC (NPI# 1598108045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598108045 |
| Entity Type | Organization |
| Organization Name | KENICHI T. MIYATA MD INC |
| Practice Address |
3393 G St D Merced CA 95340-0964 |
| Practice Telephone | 2092309065 |
| Practice Fax Number | 2093498511 |
| Mailing Telephone | 2092309065 |
| Mailing Fax Number | 2093498511 |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2013-05-28 |
| Authorized Official Name | KENICHI T MIYATA (PRESIDENT) |
| Authorized Official Telephone | 2092309065 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A117496 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | A117496 | 01 |
| Street Address |
3393 G ST D |
| City | MERCED |
| State | CA |
| Zip Code | 95340-0964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639143332 | Dva Renal Healthcare Inc | Clinic/Center | 3393 G St, Ste A, Merced, CA 95340-0964 | 2006-02-17 |
| 1821642968 | James Dennis Mccabe | Nurse Practitioner | 3393 G St, Merced, CA 95340-1000 | 2019-07-26 |
| 1003231341 | Merced Faculty Associates Medical Group, Incorporated | Family Medicine | 3393 G St, Suite C, Merced, CA 95340-0964 | 2014-02-24 |
| 1366767899 | Stanislaus Kidney and Hypertension | Internal Medicine | 3393 G St, Suite D, Merced, CA 95340-0964 | 2010-03-27 |
| 1346419918 | Thanh Dinh Nguyen | Internal Medicine | 3393 G St, Suite D, Merced, CA 95340-0964 | 2008-02-27 |
| 1376687772 | Kenichi T Miyata | Surgery | 3393 G St, D, Merced, CA 95340-0964 | 2007-02-18 |
| 1356488829 | Le-nguyen Dental Inc | Dentist | 3393 G St, Suite B, Merced, CA 95340-0964 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063045706 | Pharmedquest Pharmacy Services | Pharmacy | 3940 Sandpiper Avenue, Pharmacy 181, Merced, CA 95340 | 2020-02-21 |
| 1548809668 | Michelle Melara | Behavior Technician | 3313 G Street, Suite B, Merced, CA 95340 | 2020-01-06 |
| 1417593070 | Emilio Jose Guzman | Behavior Technician | Autism Learning Partners 3313 G. Street, Suite B, Merced, CA 95340 | 2019-11-19 |
| 1477106383 | Anita Leigh Johnson | Nurse Practitioner | 3349 G Street, Suite C Bldg. K, El Portal Plaza, Merced, CA 95340 | 2019-07-19 |
| 1609439470 | Bobby Shan | Student in an Organized Health Care Education/Training Program | Mercy Medical Center Merced, 315 Mercy Avenue, Ste. 301, Merced, CA 95340 | 2019-04-17 |
| 1508333253 | Golden Valley Health Center | Clinic/Center | 3940 Sandpiper Ave., Merced, CA 95340 | 2018-10-31 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1841702271 | Tou Chang | Pharmacist | 3350 G Street, Merced, CA 95340 | 2017-10-25 |
| 1154842466 | Miller and Skinner Dental Corporation | Dentist | 560 W. 26th St., Merced, CA 95340 | 2017-06-28 |
| 1053859314 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2025 E. Santa Fe Dr., Merced, CA 95340 | 2017-02-07 |
| Find all providers in zip 95340 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740466655 | Sheikh A Latif Do, PC | Surgery | 450 E Yosemite Ave Ste C, Merced, CA 95340-8429 | 2008-01-10 |
| 1497775720 | Edythe Woodruff Stewart | Surgery | 105 W El Portal Dr Ste B, Merced, CA 95348-2858 | 2006-07-20 |
| 1174508865 | Alfred B Johnson | Surgery | 315 Mercy Ave, Merced, CA 95340-8363 | 2005-12-14 |
| 1144205212 | Gregory Paul Dicarlo | Surgery | 411 W 20th Street, Merced, CA 95340-3713 | 2005-12-13 |
| 1366068132 | Premier Surgical Group Corporation | Surgery | 105 W El Portal Dr Ste B, Merced, CA 95348-2858 | 2020-06-17 |
| 1164901302 | Pinnacle Surgical Associates | Surgery | 3175 Collins Dr, Merced, CA 95348-3133 | 2018-08-08 |
| 1760747398 | Nadir Edmon Adam | Surgery | 315 Mercy Ave Ste 400, Merced, CA 95340-8368 | 2012-07-10 |
| 1447526512 | Dortha T. Chu M.d., Inc | Surgery | 3175 Collins Dr, Merced, CA 95348-3133 | 2012-03-22 |
| 1336453307 | Merced General Surgery Inc | Surgery | 3351 M St, 105, Merced, CA 95348-2700 | 2010-08-02 |
| 1093979205 | Ibrahim W Azer | Surgery | 315 Mercy Ave Ste 400, Merced, CA 95340 | 2008-07-16 |
| Find all providers in MERCED | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.