Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathlene Chun Miyauchi, FNP

Individual provider Family Nurse Practitioner · NPI 1790075653

Kathlene Chun Miyauchi, FNP is a Nurse Practitioner in San Jose, California. Qualified in 2009, 17 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
17
Licensed in
CA, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3131 Alum Rock Ave
San Jose, CA 95127-2902
Phone: (408) 729-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 20290 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 336147 (NY)

Record details

NPI number1790075653
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 12, 2011
Last updated in NPPESApril 12, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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