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YI MIAO PHD
NPI 1093448235
Psychologist - Clinical in Los Angeles, CA

Active since July 06, 2022PECOS EnrolledAccepts Medicare Assignment
444 S SAN VICENTE BLVD STE 103, LOS ANGELES, CA 90048(310) 423-9722(310) 248-8710 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Jul 15, 2024, Jul 6, 2022 (3 updates tracked since 2022).

About Yi Miao Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YI MIAO PHD (NPI 1093448235) is an individual clinical provider in Los Angeles, California, licensed in California (PSY34797) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Hollywood, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1093448235
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameYI MIAOCredential: PHD
Location Address444 S SAN VICENTE BLVD STE 103Los Angeles, CA 90048-4169
Mailing Address4140 W 190th StTorrance, CA 90504-5513
Phone(310) 423-9722
Fax(310) 248-8710
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 6, 2022
Last NPPES UpdateJanuary 8, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1093448235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY34797
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
444 S SAN VICENTE BLVD STE 103, Los Angeles, CA 90048
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Secondary Practice Location 1

Location 18700 Beverly Blvd Ste 7409West Hollywood, CA 90048-1804 · Phone (310) 423-3933 · Fax (310) 248-8710

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Yi Miao Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466980057
PECOS Enrollment IDI20250109003465
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIANNAE CARMONA NELKIN PSYD, BCABA
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. KENNETH HARTLINE PSY.D.
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. ANDREW STEVEN ROSENBLATT PHD
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
LIORAH SABBAH PHD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
DR. MITZI MICHELLE GONZALES PH.D.
Clinical Neuropsychologist
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722
JUSTIN D MISTERKA PSYD
Psychologist (Clinical)
444 S SAN VICENTE BLVD STE 103
LOS ANGELES, CA 90048
Los Angeles County (310) 423-9722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yi Miao's NPI number?

The NPI number for Yi Miao is 1093448235. It was assigned to this individual provider in the NPPES registry on July 6, 2022.

Where is Yi Miao located?

Yi Miao practices at 444 S San Vicente Blvd Ste 103, Los Angeles, CA 90048. The listed phone number is (310) 423-9722.

What is Yi Miao's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Yi Miao enrolled in Medicare?

Yes. Yi Miao is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Yi Miao was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.