Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Lyle K Miyashiro, PA-C

Individual provider Physician Assistant · NPI 1235639196

Mr. Lyle K Miyashiro, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Banner Urgent Care Services LLC, a 205-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9150 W Indian School Rd Ste 131
Phoenix, AZ 85037
Phone: (623) 873-0112
Fax: (623) 873-1370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7097 (AZ)

Record details

NPI number1235639196
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedFebruary 17, 2018
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Banner Urgent Care Services Llc — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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