Javier Miro, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A41757 Issued in CA

Practice address

3838 San Dimas St Ste B231
Bakersfield, CA 93301-1494

Phone

(661) 665-0505

Fax

(661) 665-7844

NPI assigned

Jun 23, 2005

Reactivated

Mar 23, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1265438337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B231",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011494",
            "telephone_number": "661-665-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE B231",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011494",
            "telephone_number": "661-665-0505",
            "fax_number": "661-665-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRO",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2019-11-05",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A41757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A41570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodrigo M. Miranda, MD
• Vevee Miranda
• Xochitl Amalia Miranda
• Yesenia Pacheco Miranda
• Mirna R Chambi MD Inc
• Asia Misenheimer
• Mark T. Mishkind, MD
• Joseph Mishreki, PHARMD
• Miss K'S Housing and Wellness Foundation Inc
• Mehul Minesh Mistry, MD

• Vascular Surgery Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.