1. Home
  2. Directory
  3. California
  4. Vallejo
  5. Specialist
  6. NPI Profile

JUDITH MILLER-YAMADA MPT
NPI 1720532633
Specialist in Vallejo, CA

Active since August 09, 2016Accepts Medicare Assignment
975 SERENO DR, VALLEJO, CA 94589(707) 651-1040 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 3, 2022, Aug 9, 2016 (2 updates tracked since 2016).

About Judith Miller-yamada Mpt NPPES

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

JUDITH MILLER-YAMADA MPT (NPI 1720532633) is an individual specialist in Vallejo, California, licensed in California (PT27816) and active in the NPI registry since August 2016. She is a graduate of Other (2001).

NPPES Registry Identity

NPI1720532633
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameJUDITH MILLER-YAMADACredential: MPT
Location Address975 SERENO DRVallejo, CA 94589-2441
Mailing Address18 Gadwall CtAmerican Canyon, CA 94503-1383 · (707) 334-6838
Phone(707) 651-1040
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateAugust 9, 2016
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1720532633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT27816
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
975 SERENO DR, Vallejo, CA 94589
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Judith Miller-yamada Mpt 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 ID7911295035
PECOS Enrollment IDI20161005001520

Medicare Billing Reassignment

Medicare enrollment records show Judith Miller-yamada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
Same address
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

DR. ROBERTA YIWUN WANG M.D.
Physical Medicine & Rehabilitation
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-5128
RIHONG ZHOU
Pharmacist
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-2072
EVAN HIRSCHBEIN
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 339-2074
MS. JEAN BROADNAX LCSW
Social Worker (Clinical)
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4423
SEAN NISAM
Student in an Organized Health Care Education/Training Program
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-4071
LI M. TSANG MD
Anesthesiology
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
DONN R. ERICKSON MD
Family Medicine
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000
JOHN S. WOOD MD
Surgery
975 SERENO DR
VALLEJO, CA 94589
Napa County (707) 651-1000

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 Judith Miller-yamada's NPI number?

The NPI number for Judith Miller-yamada is 1720532633. It was assigned to this individual provider in the NPPES registry on August 9, 2016.

Where is Judith Miller-yamada located?

Judith Miller-yamada practices at 975 Sereno Dr, Vallejo, CA 94589. The listed phone number is (707) 651-1040.

What is Judith Miller-yamada's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Judith Miller-yamada enrolled in Medicare?

Yes. Judith Miller-yamada 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.

Which organization bills Medicare for Judith Miller-yamada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Miller-yamada reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Judith Miller-yamada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Judith Miller-yamada was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.