Brian Mirazic, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A49332 Issued in CA

Practice address

3518 W 8TH St
Los Angeles, CA 90005-2902

Phone

(213) 384-9949

Fax

(213) 384-8530

NPI assigned

Dec 14, 2006

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Ardmore Medical Group Inc

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1124189212
  Medicare reassignment NPD
• Ardmore Medical Group

  • General Practice Physician
  • El Monte, CA
  • NPI 1578624672
  NPD
• Ardmore Medical Group

  • Obstetrics & Gynecology Physician
  • Los Angeles, CA
  • NPI 1770649097

  General Practice

  NPD

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215099320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 ATLANTIC BLVD",
            "city": "MAYWOOD",
            "state": "CA",
            "postal_code": "902703133",
            "telephone_number": "323-562-6170",
            "fax_number": "323-562-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 W 8TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900052902",
            "telephone_number": "213-384-9949",
            "fax_number": "213-384-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAZIC",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A49332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vania Miranda
• Victor Miranda Jr.
• Wacinee D Miranda
• Yesenia Miranda, RRT
• Alan P. Mirasol, M.D.
• Michael M. Mirbaba, M.D., PH.D.
• Sina Mirbagheri, MD
• Linda M. Mirdamadi, MD
• Joby J Mire
• Adrian D. Mirea, MD

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.