Edward P. Miranda MD a Medical Corporation

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A82349 Issued in CA

Legal business name

EDWARD P. MIRANDA MD A MEDICAL CORPORATION

Practice address

77 Van Ness Avenue
Suite 302
San Francisco, CA 94102

Phone

(415) 379-9015

Fax

(415) 379-9045

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Miranda, M.D.NPI 1710946868

Title

President

Phone

(415) 379-9015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward P. Miranda, M.D.

  • Plastic Surgery Physician
  • San Francisco, CA
  • NPI 1710946868
  Medicare reassignment Care Compare group NPD Authorized official
• Charis Fasoldt, PA

  • Physician Assistant
  • San Francisco, CA
  • NPI 1447943667
  Care Compare group

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1215112347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VAN NESS AVENUE",
            "address_2": "SUITE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-379-9015",
            "fax_number": "415-379-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VAN NESS AVENUE",
            "address_2": "SUITE 302",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94102",
            "telephone_number": "415-379-9015",
            "fax_number": "415-379-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD P. MIRANDA MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-379-9015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A82349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Starr Levetti Edmundson
• Joanne Krissy Edquilang, M.D.
• Patrick Edsall, PHARMD
• Concepcion M Edu
• Edward Diao MD Inc
• Fayola Abebi Edwards-Ojeba
• Ada Rose Edwards, NP
• Anya Lisa Edwards, MD
• Christina Edwards, LMFT
• Erica Edwards, LMFT

• Plastic Surgery Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.