Active NPI
Alex Miranda
- Counseling Psychologist
- Bellflower, CA
National Provider Identifier
1275041873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 9439 Somerset Blvd
Bellflower, CA 90706-3052 - Phone
- (562) 263-6502
- NPI assigned
- Jan 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | CA | Primary |
Addresses
Primary practice location
9439 Somerset Blvd
Bellflower, CA 90706-3052
Mailing address
9439 Somerset Blvd
Bellflower, CA 90706-3052
Phone (562) 263-6502
Other practice location 1
7111 Dinwiddie St
Downey, CA 90241-2004
Phone (562) 446-6789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1275041873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9439 SOMERSET BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907063052",
"telephone_number": "562-263-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9439 SOMERSET BLVD",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907063052",
"telephone_number": "562-263-6502"
}
],
"practiceLocations": [
{
"address_1": "7111 Dinwiddie St",
"address_purpose": "LOCATION",
"city": "Downey",
"state": "CA",
"postal_code": "902412004",
"country_code": "US",
"telephone_number": "562-446-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "ALEX",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.