JEAN T MIYASHITA MD
NPI 1124213988
Clinic/Center - Primary Care in Tarzana, CA

Active since September 13, 2007
18411 CLARK ST STE 103, TARZANA, CA 91356(818) 343-1700(818) 343-1738 Get Directions Write a Review

NPPES record last updated: June 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jean T Miyashita Md NPPES

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

JEAN T MIYASHITA MD (NPI 1124213988) is a healthcare organization registered as a primary care in Tarzana, California and active in the NPI registry since September 2007. The organization lists Jean Miyashita, Owner, as its authorized official.

NPPES Registry Identity

NPI1124213988
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameJEAN T MIYASHITA MD
Location Address18411 CLARK ST STE 103Tarzana, CA 91356-3527
Mailing Address18411 Clark St Ste 103Tarzana, CA 91356-3527 · (818) 343-1700 · Fax (818) 343-1738
Fax(818) 343-1738
Organization SubpartNo
Authorized OfficialJean MiyashitaOwner · (818) 343-1700
Enumeration DateSeptember 13, 2007
Last NPPES UpdateJune 12, 2008
NPI 1124213988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License Licensed in CA · G79761
18411 CLARK ST STE 103, Tarzana, CA 91356

Other Identifiers 2

Medicare PING79761CA
Medicare UPING59120CA

Other Providers at the Same Location NPPES

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

Internal Medicine
18411 CLARK ST STE 103
TARZANA, CA 91356

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 Jean T Miyashita MD's NPI number?

The NPI number for Jean T Miyashita MD is 1124213988. It was assigned to this organization in the NPPES registry on September 13, 2007.

Where is Jean T Miyashita MD located?

Jean T Miyashita MD is located at 18411 Clark St Ste 103, Tarzana, CA 91356. The listed phone number is (818) 343-1700.

What is Jean T Miyashita MD's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Jean T Miyashita MD was last updated on June 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.