Nadine Centeno Miranda Luis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1610 5TH St
San Fernando, CA 91340-2013

Phone

(818) 521-2512

NPI assigned

Mar 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Nadine Centeno Miranda Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1003563008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 TELEGRAPH RD STE 115",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906604940",
            "telephone_number": "562-619-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 5TH ST",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913402013",
            "telephone_number": "818-521-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA LUIS",
        "first_name": "NADINE",
        "middle_name": "CENTENO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nadine.miranda@pathways.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "work related",
            "address_1": "1610 5th St",
            "city": "San Fernando",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913402013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "MIRANDA",
            "middle_name": "CENTENO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luis Mendes
• Kevin Rafael Mendoza
• Makayla Mendoza
• Tina Merati
• Millenium Medical Group
• Brenda L. Miranda
• Marissa Tecson Miranda
• Shahram S. Mirhashemi, M.D.
• Katayoun Mohajerani, DDS
• Leslie M Monarrez, SUDRC

• Case Manager/Care Coordinator in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.