Provider Demographics
NPI:1699158493
Name:MIYASHIRO, DAYNA (MD)
Entity type:Individual
Prefix:
First Name:DAYNA
Middle Name:
Last Name:MIYASHIRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 BODIN CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94535-1809
Mailing Address - Country:US
Mailing Address - Phone:707-423-7525
Mailing Address - Fax:
Practice Address - Street 1:2067 W VISTA WAY STE 140
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-6032
Practice Address - Country:US
Practice Address - Phone:760-941-4444
Practice Address - Fax:760-941-8902
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-30
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7507207R00000X
CAA172887207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine