Miranda Deloris Milfort, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

15167 Issued in CA

Practice address

7301 S Western Ave
Los Angeles, CA 90047-2254

Phone

(310) 908-9121

NPI assigned

Dec 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miranda Deloris Harper-Milfort Professional name

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allied Health Solutions Medical Group a Professional Corporation

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1750696308
  Medicare reassignment
• Florence Western Medical Clinic Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1154347797
  Medicare reassignment
• Acla Dermatology & Medical Clinic

  • Specialist
  • Los Angeles, CA
  • NPI 1447444690
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1104000595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45782",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900450782",
            "telephone_number": "310-908-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 S WESTERN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472254",
            "telephone_number": "310-908-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILFORT",
        "first_name": "MIRANDA",
        "middle_name": "DELORIS",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "15167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRANDA",
            "last_name": "HARPER-MILFORT",
            "middle_name": "DELORIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Steven Aloysius Miles, M.D.
• Tommie Lee Miles
• Tykeno Dupree Miles, AS, AA
• Thomas Ralph Miley, MSW/ACSW
• Gerald D. Milfort
• Milgrom Medical Inc.
• Etan Milgrom, MD
• Marianne Milham
• Christina A. Milia
• Korina D Milian

• Physician Assistant in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.

Verify at the official NPI Registry.