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MR. JUSTIN MIYAMOTO M.D.
NPI 1912272105
Pediatrics in Los Angeles, CA

Active since March 20, 2012PECOS Enrolled
6041 CADILLAC AVE, LOS ANGELES, CA 90034(323) 857-2000 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 6, 2021, Oct 13, 2016 (2 updates tracked since 2016).

About Mr. Justin Miyamoto M.d. NPPES

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

MR. JUSTIN MIYAMOTO M.D. (NPI 1912272105) is an individual pediatrics provider in Los Angeles, California, licensed in California (A136811) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912272105
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMR. JUSTIN MIYAMOTOCredential: M.D.
Location Address6041 CADILLAC AVELos Angeles, CA 90034-1702
Mailing Address6041 Cadillac AveLos Angeles, CA 90034-1702 · (323) 857-2000
Phone(323) 857-2000
Sole ProprietorNo
Enumeration DateMarch 20, 2012
Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration
✔ NPI 1912272105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in CA · A136811✔ Licensed in WA · ML60292840
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6041 CADILLAC AVE, Los Angeles, CA 90034
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Justin Miyamoto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90034 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
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 20

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

BENJAMIN M KALKIN SP
Speech-Language Pathologist
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
JACQUELINE A RICE CNM
Advanced Practice Midwife
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
DR. LINDA FONG M.D.
Internal Medicine (Cardiovascular Disease)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3290
LINDA HAN PHARM.D.
Pharmacist
6041 CADILLAC AVE, KAISER WEST LOS ANGELES MEDICAL CENTER
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3989
BRYAN HERNANDEZ MD
Internal Medicine
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (310) 666-6055
ALLAN CHEN MD
Internal Medicine
6041 CADILLAC AVE, INTERNAL MEDICINE MODULE 2D
LOS ANGELES, CA 90034
Los Angeles County (323) 857-3303
JOSEPHINE JUI-YU CHIU MD
Internal Medicine (Nephrology)
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000
LICERIO V. CASTRO JR. MD
Anesthesiology
6041 CADILLAC AVE
LOS ANGELES, CA 90034
Los Angeles County (323) 857-2000

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 Justin Miyamoto's NPI number?

The NPI number for Justin Miyamoto is 1912272105. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Justin Miyamoto located?

Justin Miyamoto practices at 6041 Cadillac Ave, Los Angeles, CA 90034. The listed phone number is (323) 857-2000.

What is Justin Miyamoto's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Justin Miyamoto enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Justin Miyamoto was last updated on December 6, 2021. 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.