Chiaki Miura Jutabha, MD in Manhattan Beach, CA

Chiaki Miura Jutabha, MD is a medicare enrolled "Pediatrics" physician in Manhattan Beach, California. Her current practice location is 2501 N Sepulveda Blvd Ste 101, Manhattan Beach, California. You can reach out to her office (for appointments etc.) via phone at (310) 546-8702.

Chiaki Miura Jutabha is licensed to practice in California (license number A64833) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760493126.

Contact Information

	Chiaki Miura Jutabha, MD
	2501 N Sepulveda Blvd Ste 101, Manhattan Beach, CA 90266-2722
	(310) 546-8702
	(310) 545-5310

Map and Direction

Physician's Profile

Full Name	Chiaki Miura Jutabha
Gender	Female
Speciality	Pediatrics
Location	2501 N Sepulveda Blvd Ste 101, Manhattan Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760493126
Provider Enumeration Date: 08/11/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 7012100985
Enrollment ID: I20101023000114

Medical Identifiers

Medical identifiers for Chiaki Miura Jutabha such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760493126	NPI	-	NPPES
00A648330	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A64833 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chiaki Miura Jutabha allows following entities to bill medicare on her behalf.

Entity Name	Uc Regents
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chiaki Miura Jutabha is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chiaki Miura Jutabha, MD 5767 W Century Blvd, Suite 200, Los Angeles, CA 90045-5632 Ph: (310) 829-9935	Chiaki Miura Jutabha, MD 2501 N Sepulveda Blvd Ste 101, Manhattan Beach, CA 90266-2722 Ph: (310) 546-8702

Reviews and Comments

Pediatrics Doctors in Manhattan Beach, CA

Joanna May Wong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 855 Manhattan Beach Blvd, Ste 103, Manhattan Beach, CA 90266 Phone: 310-939-7850 Fax: 310-939-7851
Vivian Yi Lin, Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Sepulveda Blvd Ste 190, Manhattan Beach, CA 90266 Phone: 310-546-8702 Fax: 310-545-5310
Dr. Sandra Kathleen Smith-lang, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 578 31st St, Manhattan Beach, CA 90266 Phone: 310-890-6209 Fax: 310-546-2955
Christine Kao, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Sepulveda Blvd Ste 190, Manhattan Beach, CA 90266 Phone: 310-546-8702
Mahsa Madani, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 855 Manhattan Beach Blvd, Manhattan Beach, CA 90266 Phone: 310-939-7847
Casey Sherman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2501 N Sepulveda Blvd, Suite 101, Manhattan Beach, CA 90266 Phone: 310-546-8702
Dr. Keith Robin Bayan, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Sepulveda Blvd Ste 190, Manhattan Beach, CA 90266 Phone: 310-546-8702 Fax: 310-545-5310

Chiaki Miura Jutabha, MD - Medicare Pediatrics in Manhattan Beach, CA