KIMBERLY REIKO MIYAMOTO (NPI# 1861048456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861048456 |
| Entity Type | Individual |
| Full Name | KIMBERLY REIKO MIYAMOTO |
| Credential | RD |
| Practice Address |
24533 Cadiz Dr Lomita CA 90717-1156 |
| Practice Telephone | 3107497687 |
| Mailing Telephone | 3107497687 |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2019-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1005X |
Dietitian, Registered Specialization: Nutrition, Renal |
Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114331865 | Kimberly Miyamoto | Dentist | 2530 S Parker Rd, #201, Aurora, CO 80014-1623 | 2014-06-19 |
| Street Address |
24533 CADIZ DR |
| City | LOMITA |
| State | CA |
| Zip Code | 90717-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336705 | Access To Rehab Corp. | Rehabilitation Practitioner | 24846 Narbonne Avenue, Lomita, CA 90717 | 2020-01-30 |
| 1407403587 | Roneilio San Diego Garcia | Technician | 2104 W. 242nd Street, Lomita, CA 90717 | 2019-08-22 |
| 1528614336 | Joann M Smith | Technician | 25111 Ebony Liv, Lomita, CA 90717 | 2019-08-16 |
| 1598276313 | Integrative Health Clinic | Chiropractor | 24846 Narbonne Ave, Lomita, CA 90717 | 2017-10-19 |
| 1497140511 | Red Sun Therapeutics, Inc. | Acupuncturist | 2244 Pacific Coast Hwy, Suite #107, Lomita, CA 90717 | 2015-04-06 |
| 1982914222 | Salomeh Tehrani | Dentist | 26015 Narbonne Ave, Apt 20, Lomita, CA 90717 | 2010-10-20 |
| 1124162151 | Susan J Kaspian | Optometrist | 1735 Pacific Coast Hwy, Lomita, CA 90717 | 2007-02-15 |
| 1114022365 | World Market Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2049 Pacific Coast Highway, Ste 103, Lomita, CA 90717 | 2006-09-13 |
| 1215047303 | Leo Jireh Cioco Abelita | Dentist | 1809 1/2 West Lomita Boulevard, Lomita, CA 90717 | 2006-08-30 |
| 1780690966 | Susan Renee Moreau | Chiropractor | 2383 Lomita Blvd, #115, Lomita, CA 90717 | 2006-07-31 |
| Find all providers in zip 90717 | ||||
| Taxonomy Code | 133VN1005X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Renal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386279792 | Healthy Mission Dietitian, Inc. | Dietitian, Registered | 225 S Ivy Ave # 266, Monrovia, CA 91016-2835 | 2020-03-05 |
| 1114490497 | Maria Tointon | Dietitian, Registered | 236 6th Ave # A, Santa Cruz, CA 95062-4604 | 2019-01-09 |
| 1194260695 | Rory Pace | Dietitian, Registered | 300 Santana Row, Suite 300, San Jose, CA 95128-2423 | 2016-12-20 |
| 1689122533 | Shirlee Rosen | Dietitian, Registered | 4521 Sherman Oaks Ave Ste 201, Sherman Oaks, CA 91403-3807 | 2016-09-20 |
| 1336599836 | Shu-hui Dai | Dietitian, Registered | 20718 Golden Rain Rd, Riverside, CA 92508-3161 | 2016-06-15 |
| 1679922561 | Monica Wong | Dietitian, Registered | 2201 Junipero Serra Blvd, Daly City, CA 94014-1908 | 2016-06-10 |
| 1275982837 | Alice Thipphavong | Dietitian, Registered | 1290 Tully Rd Ste 60, San Jose, CA 95122-3069 | 2016-06-05 |
| 1417328121 | Vanessa Joana Rojas-bautista | Dietitian, Registered | 101 City Drive, Bldg. 51, Orange, CA 92868-3217 | 2015-10-08 |
| 1396131009 | Susan Lynn Mills | Dietitian, Registered | 5718 Ravenspur Dr Unit 106, Rancho Palos Verdes, CA 90275-3536 | 2015-04-09 |
| 1104163880 | Iryanthi Kurniadi | Dietitian, Registered | 18324 Jeffrey Ave, Cerritos, CA 90703-6149 | 2013-01-15 |
| Find all providers with the same taxonomy | ||||
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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.