Dr Kenji Christian Miyamoto, PHD - Medicare Counselor in Los Angeles, CA

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Dr Kenji Christian Miyamoto, PHD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. His current practice location is 1000 Wilshire Blvd Ste 240, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (424) 201-1600.

Dr Kenji Christian Miyamoto is licensed to practice in California (license number 35078) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194147116.

Contact Information

Dr Kenji Christian Miyamoto, PHD
1000 Wilshire Blvd Ste 240,
Los Angeles, CA 90017-6279
(424) 201-1600
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Kenji Christian Miyamoto
GenderMale
SpecialityPsychologist - Clinical
Location1000 Wilshire Blvd Ste 240, Los Angeles, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194147116
  • Provider Enumeration Date: 01/09/2014
  • Last Update Date: 06/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042751208
  • Enrollment ID: I20240916002517

Medical Identifiers

Medical identifiers for Dr Kenji Christian Miyamoto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194147116NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Secondary
103TC0700XPsychologist - Clinical 35078 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenji Christian Miyamoto allows following entities to bill medicare on his behalf.
Entity NameExecutive Mental Health, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275670036
PECOS PAC ID: 0345209102
Enrollment ID: O20160512000302

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenji Christian Miyamoto is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenji Christian Miyamoto, PHD
833 E Grinnell Dr,
Burbank, CA 91501-1215

Ph: (818) 846-2449		Dr Kenji Christian Miyamoto, PHD
1000 Wilshire Blvd Ste 240,
Los Angeles, CA 90017-6279

Ph: (424) 201-1600

Reviews and Comments


Psychologist in Los Angeles, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.