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

Individual provider Surgery Physician · NPI 1538319959

Shin Miyata, MD is a General Surgery in Los Angeles, California. Qualified in 2003, 23 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
23
Licensed in
CA, MI
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4650 Sunset Blvd
Los Angeles, CA 90027-6062
Phone: (323) 361-3550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Surgery Physician (primary) Taxonomy 2086S0120X · Licence A123051 (CA)
Surgery Physician Taxonomy 208600000X · Licence 4301091842 (MI)

Record details

NPI number1538319959
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 22, 2008
Last updated in NPPESMarch 8, 2017

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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