Active NPI
Mianda Cheree Carr, MD
- Obstetrics & Gynecology Physician
- National City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A104660
- Practice address
- 2400 E 8TH St
National City, CA 91950-2956 - Phone
- (619) 662-4118
- NPI assigned
- May 30, 2007
- Last updated
- Apr 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A104660 | CA | Primary |
Addresses
Primary practice location
2400 E 8TH St
National City, CA 91950-2956
Mailing address
4004 Beyer Blvd
San Ysidro, CA 92173-2007
Phone (619) 662-4123
Other practice location 1
195 Page Mill Rd Ste 103
Palo Alto, CA 94306-2073
Phone (888) 731-8994
Other names 1
- Mianda Cheree Carr Cook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104660 | CA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Centro de Salud de la Comunidad de San Ysidro, Inc. | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Sutter Gould Medical Foundation | Past | Accepting new patients |
Locations
1637 Third Ave
Ste B
Chula Vista, CA 91911
Phone (619) 425-1780
1136 D Ave
National City, CA 91950
Phone (619) 336-2300
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
1601 Precision Park Ln
San Ysidro, CA 92173
Phone (619) 205-4585
4004 Beyer Blvd
San Ysidro, CA 92173
Phone (619) 428-1330
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mcarr182324@direct.llu.edu
- mcarr18674@syhealth.direct-ci.com
- mcarr80865@scrippshlth.medalliesdirect.net
- mianda.carr@335000925634564.direct.elationemr.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Ysidro Health Precision Park
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1124782685
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
dba General Physician Group Multi Specialty
- Federally Qualified Health Center (FQHC)
- San Ysidro, CA
- NPI 1164641965
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Family Medicine Physician
- Turlock, CA
- NPI 1023065133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1083815823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4004 BEYER BLVD",
"city": "SAN YSIDRO",
"state": "CA",
"postal_code": "921732007",
"telephone_number": "619-662-4123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 E 8TH ST",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502956",
"telephone_number": "619-662-4118"
}
],
"practiceLocations": [
{
"address_1": "195 Page Mill Rd Ste 103",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943062073",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARR",
"first_name": "MIANDA",
"middle_name": "CHEREE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A104660",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIANDA",
"last_name": "CARR COOK",
"middle_name": "CHEREE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in National City, CA
- Cardiology and Vascular Clinic of San Diego, AMC
- Cardiology of Southern California (Albert J. Sharf MD Inc)
- Carlos a. Dongo D.D.S., Inc
- Carmelita Uy MD Inc (Carmelita Y MD Inc)
- Carmen Velazquez MD Inc
- Juanita I Carreno
- Maria Teresa Carriedo-Ceniceros, MD
- Marine E Castanon
- Carlos Armando Castro, M.D.
- Sara Castro, FSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.