Doctor profile · Federal record
Dr. Jaclyn Miyamoto, MD
Student in an Organized Health Care Education/Training Program (CMS: Family Practice) · Fontana, CA
- NPI 1477902104
- Accepts Medicare
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
17234 Valley Blvd
Fontana, CA 92335
(909) 427-5084
Credentials & registration
- NPI registered
- June 2016 — 10 yrs on file
- Profile last updated
- December 6, 2021
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477902104. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$146
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | 2 | $146.24 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,662
Patients
1,565
Total drug cost
$39,002
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 487 | 267 | $6,820 |
| Amlodipine Besylate | Generic | 312 | 166 | $3,743 |
| Losartan Potassium | Generic | 246 | 147 | $2,985 |
| Lisinopril | Generic | 225 | 128 | $2,592 |
| Rosuvastatin Calcium | Generic | 184 | 101 | $2,162 |
| Levothyroxine Sodium | Generic | 179 | 105 | $4,035 |
| Omeprazole | Generic | 135 | 81 | $1,390 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 130 | 78 | $1,175 |
| Metformin Hcl | Generic | 124 | 65 | $1,633 |
| Lisinopril-Hydrochlorothiazide (Lisinopril/Hydrochlorothiazide) | Brand | 120 | 69 | $1,559 |
Frequently asked questions
What is Dr. Jaclyn Miyamoto's medical specialty?
Dr. Jaclyn Miyamoto practices Student in an Organized Health Care Education/Training Program in Fontana, CA.
Where does Dr. Jaclyn Miyamoto practice?
Dr. Jaclyn Miyamoto practices at 17234 Valley Blvd, Fontana, CA 92335. Office phone: 9094275084.
What is Dr. Jaclyn Miyamoto's NPI?
Dr. Jaclyn Miyamoto's National Provider Identifier (NPI) is 1477902104, issued by NPPES.
Does Dr. Jaclyn Miyamoto accept Medicare assignment?
Yes. Dr. Jaclyn Miyamoto accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.