Active NPI
Miranda Elise McDonnell, AUD, CCC-A, FAAA
- Audiologist
- Salinas, CA
National Provider Identifier
1164130753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3764
- Practice address
- 1095 Los Palos Dr
Salinas, CA 93901-3916 - Phone
- (831) 422-8798
- Fax
- (831) 422-0153
- NPI assigned
- Nov 11, 2022
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 3764 | CA | Primary |
Addresses
Primary practice location
1095 Los Palos Dr
Salinas, CA 93901-3916
Mailing address
4719 Quail Lakes Dr # G209
Stockton, CA 95207-8140
Phone (209) 642-3882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 Los Palos Dr
Salinas, CA 93901-3916
Phone (408) 422-8798
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.27 of 100
- Quality
- 82.29
- Promoting interoperability
- 95
- Improvement activities
- 40
- Cost
- 62.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Coast Head & Neck Surgeons a M C Inc | Current | Accepting new patients |
Locations
966 Cass St
Ste 250
Monterey, CA 93940
Phone (831) 649-4000
1095 Los Palos Dr
Salinas, CA 93901
Phone (831) 422-8798
Organizations & group practices 1
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.
-
- Otolaryngology Physician
- Salinas, CA
- NPI 1255405460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668124800000",
"number": "1164130753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 QUAIL LAKES DR # G209",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952078140",
"telephone_number": "209-642-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1095 LOS PALOS DR",
"city": "SALINAS",
"state": "CA",
"postal_code": "939013916",
"telephone_number": "831-422-8798",
"fax_number": "831-422-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONNELL",
"first_name": "MIRANDA",
"middle_name": "ELISE",
"credential": "AUD, CCC-A, FAAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-11",
"last_updated": "2022-11-11",
"certification_date": "2022-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "CA",
"license": "3764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.