LINDA KAJLSA MIYATAKE DDS MD
NPI 1346394764
Dentist - Oral and Maxillofacial Surgery in San Mateo, CA

Q: What is Linda Miyatake's NPI number?

The NPI number for Linda Miyatake is 1346394764. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Q: What is Linda Miyatake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Linda Miyatake enrolled in Medicare?

No. Linda Miyatake has opted out of Medicare through April 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Linda Miyatake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 23, 2007Opted out of Medicare · through Apr 22, 2027

130 NORTH SAN MATEO DRIVE, SUITE 1, SAN MATEO, CA 94401(650) 347-7014(650) 347-5229 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Linda Kajlsa Miyatake Dds Md NPPES

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

LINDA KAJLSA MIYATAKE DDS MD (NPI 1346394764) is an individual oral and maxillofacial surgery provider in San Mateo, California, licensed in California (37567) and active in the NPI registry since January 2007. She has opted out of Medicare through April 22, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1346394764

Entity TypeIndividualFemale

Primary Taxonomy1223S0112X

Provider Legal NameLINDA KAJLSA MIYATAKECredential: DDS MD

Location Address130 NORTH SAN MATEO DRIVE, SUITE 1San Mateo, CA 94401

Mailing Address130 North San Mateo Drive, Suite 1San Mateo, CA 94401 · (650) 347-7014 · Fax (650) 347-5229

Phone(650) 347-7014

Fax(650) 347-5229

Sole ProprietorNo

Enumeration DateJanuary 23, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1346394764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in CA · 37567

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

130 NORTH SAN MATEO DRIVE, San Mateo, CA 94401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Linda Kajlsa Miyatake Dds Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2013 through April 22, 2027.

Opt-Out Effective DateApril 22, 2013

Opt-Out In Effect ThroughApril 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94401 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$84.91 typical visit price

range $23.44 – $166.46

Typical copayment $21.22 (range $5.86 – $41.61)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Linda Miyatake's NPI number?

The NPI number for Linda Miyatake is 1346394764. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Linda Miyatake located?

Linda Miyatake practices at 130 North San Mateo Drive Suite 1, San Mateo, CA 94401. The listed phone number is (650) 347-7014.

What is Linda Miyatake's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Linda Miyatake enrolled in Medicare?

No. Linda Miyatake has opted out of Medicare through April 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Linda Miyatake was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.