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

Individual provider Surgical Physician Assistant · NPI 1871605576

Mr. Naoki Miyakawa, PA-C, MPAS is a Physician Assistant in Modesto, California. Qualified in 2000, 26 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
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

1335 Coffee Rd Ste 100
Modesto, CA 95355-3192
Phone: (209) 524-4438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA15607 (CA)

Record details

NPI number1871605576
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , MPAS
Sole proprietorYes
NPI enumeratedAugust 31, 2006
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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