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

Kenichi T Miyata, MD

Individual provider Surgery Physician · NPI 1376687772

Kenichi T Miyata, MD is a General Surgery in Merced, California. Graduated from University of Wisconsin School of Medicine in 2006, 20 years ago. Practices with Golden Valley Health Centers, a 110-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
University of Wisconsin School of Medicine
Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3393 G St D
Merced, CA 95340-0964
Phone: (209) 230-9065
Fax: (209) 349-8511
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A117496 (CA)

Record details

NPI number1376687772
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedFebruary 18, 2007
Last updated in NPPESMay 28, 2013

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Golden Valley Health Centers — 110 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Merced