Individual provider Active NPI

Miguel Pineda

  • Emergency Medicine Physician
  • San Diego, CA
National Provider Identifier
1174057400
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A169668 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(800) 926-8273
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 12172673-1205 UT
Emergency Medicine Physician 207P00000X R76071 AZ
Emergency Medicine Physician 207P00000X A169668 CA Primary
Emergency Medicine Physician 207P00000X 63254 AZ

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

789 Lakefield Dr
Galloway, OH 43119-9019
Phone (614) 214-2667

Other practice location 1

1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone (520) 872-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210624000682 AZ Practitioner - Emergency Medicine 2365797479 Reassigns benefits to 2 organizations
I20220715001549 UT Practitioner - Emergency Medicine 2365797479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio State University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, 3,948 clinicians

Practice addresses (Care Compare)

1380 E Medical Ctr Dr
St George, UT 84790-2123
Phone (435) 251-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63254AZMDEmergency Medicine Physician
R76071AZMDEmergency Medicine Physician
A169668CAMDEmergency Medicine Physician
12172673-1205UTMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Emergency Medicine CurrentSince Apr 6, 2022 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Ihc Health Services Inc Family Medicine Current Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Jul 1, 2021 Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 6, 2022 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1174057400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 LAKEFIELD DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199019",
            "telephone_number": "614-214-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "800-926-8273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 W Saint Marys Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452623",
            "country_code": "US",
            "telephone_number": "520-872-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEDA",
        "first_name": "MIGUEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "12172673-1205",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R76071",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A169668",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "63254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.