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

Mia Matsuda Kanak, MD, MPH

Individual provider Pediatrics Physician · NPI 1508251687

Mia Matsuda Kanak, MD, MPH is an Emergency Medicine in New York, New York. Graduated from Stanford University School of Medicine in 2015, 11 years ago. Licensed in California.

Years since qualifying
11
Trained at
Stanford University School of Medicine
Licensed in
CA
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

525 E 68th St # 179
New York, NY 10065-4870
Phone: (866) 463-2778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence A154810 (CA)

Record details

NPI number1508251687
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , MPH
Sole proprietorNo
NPI enumeratedApril 5, 2015
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolSTANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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