Gabriella Miranda Miranda, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NPF95025396 Issued in CA

Practice address

584 E St
Chula Vista, CA 91910-2348

Phone

(619) 420-1378

Fax

(619) 420-1331

NPI assigned

Dec 18, 2023

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

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

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13156/brand/1/csg/1/fhir/r4

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.

• South Bay Family Medical Group, Inc

  • Family Medicine Physician
  • Chula Vista, CA
  • NPI 1508920984
  Medicare reassignment NPD

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1194593350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102348",
            "telephone_number": "619-420-1378",
            "fax_number": "619-420-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 E ST",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102348",
            "telephone_number": "619-420-1378",
            "fax_number": "619-420-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA MIRANDA",
        "first_name": "GABRIELLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NPF95025396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phonprapha Sithavady Miner
• Joseph Minick, MD
• Audrie Marie Minnich, MD
• Vicente Octavio Miramon, D.D.S.
• Alfred Miramontes
• Andrea Miranda
• Angela Sophia Miranda
• Brianna Nicole Miranda
• Celia Miranda
• Dominique Nicole Miranda, PTA

• Family Nurse Practitioner in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.