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KIMBERLY REIKO MIYAMOTO RD
NPI 1861048456
Dietitian, Registered - Nutrition, Renal in Lomita, CA

Active since August 10, 2019
24533 CADIZ DR, LOMITA, CA 90717(310) 749-7687 Get Directions Write a Review

NPPES record last updated: August 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kimberly Reiko Miyamoto Rd NPPES

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

KIMBERLY REIKO MIYAMOTO RD (NPI 1861048456) is an individual nutrition, renal provider in Lomita, California and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1861048456
Entity TypeIndividualFemale
Primary Taxonomy133VN1005X
Provider Legal NameKIMBERLY REIKO MIYAMOTOCredential: RD
Location Address24533 CADIZ DRLomita, CA 90717-1156
Mailing Address24533 Cadiz DrLomita, CA 90717-1156 · (310) 749-7687
Phone(310) 749-7687
Sole ProprietorYes
Enumeration DateAugust 10, 2019
✔ NPI 1861048456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, RenalDietary & Nutritional Service Providers
Taxonomy Code133VN1005X
Definition
An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transplant) in a variety of settings, OR works indirectly in management, education, or research practice linked specifically to renal nutrition. The specialist in renal/nephrology nutrition is responsible for nutrition assessment, diagnosis, intervention, monitoring, and evaluation.
24533 CADIZ DR, Lomita, CA 90717
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Reiko Miyamoto Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Miyamoto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine And Nephrology Med. Group Inc.
1.7 mi
Nephrology
3291 SKYPARK DR
Torrance, CA 90505
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1497759104 (310) 325-4517

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure reassessment for nutrition management, each 15 minutes 97803
This is a process where a healthcare professional reviews your nutritional needs every 15 minutes. It's part of managing your diet to ensure optimal health. The review may involve adjusting your meal plans, evaluating your body's response to certain foods, and monitoring your overall nutrition status.
42 services11 patients

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 Kimberly Miyamoto's NPI number?

The NPI number for Kimberly Miyamoto is 1861048456. It was assigned to this individual provider in the NPPES registry on August 10, 2019.

Where is Kimberly Miyamoto located?

Kimberly Miyamoto practices at 24533 Cadiz Dr, Lomita, CA 90717. The listed phone number is (310) 749-7687.

What is Kimberly Miyamoto's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Renal, with taxonomy code 133VN1005X.

Is Kimberly Miyamoto enrolled in Medicare?

Yes. Kimberly Miyamoto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Miyamoto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Miyamoto reassigns Medicare benefits to Internal Medicine And Nephrology Med. Group Inc. (Torrance, 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 Kimberly Miyamoto'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 Kimberly Miyamoto was last updated on August 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.