Peter Miranda, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20552 Issued in CA

Practice address

1441 Constitution Blvd Ste 200
Floor One, Suite 101
Salinas, CA 93906-3127

Phone

(831) 755-4124

Fax

(831) 759-6595

NPI assigned

Nov 19, 2009

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• County of Monterey

  • Pediatrics Physician
  • Salinas, CA
  • NPI 1457303356
  Medicare reassignment
• County of Monterey

  • Family Medicine Physician
  • Salinas, CA
  • NPI 1033596911
  NPD
• County of Monterey Behavioral Health

  • Adult Mental Health Clinic/Center
  • Salinas, CA
  • NPI 1053126003
  NPD
• County of Monterey

  • Federally Qualified Health Center (FQHC)
  • Salinas, CA
  • NPI 1508629171
  NPD (past)
• Monterey County Behavioral Health Division

  • Community/Behavioral Health Agency
  • Salinas, CA
  • NPI 1730211178
  NPD (past)

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

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258588800000",
    "number": "1285962993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD STE 200",
            "address_2": "FLOOR ONE, SUITE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063127",
            "telephone_number": "831-755-4124",
            "fax_number": "831-759-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 CONSTITUTION BLVD STE 200",
            "address_2": "FLOOR ONE, SUITE 101",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063127",
            "telephone_number": "831-755-4124",
            "fax_number": "831-759-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "PETER",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Marie Mineo, RD
• Esmeralda Minnig
• Ashley Shelby Miranda
• Frederick Ralph Miranda, M.D.
• Karen Miranda
• Jeremy Mirasol
• Julian Mirasol
• Kristen Ryan Mirell, OTR/L
• Trisha Misner, RDHAP
• Jennifer Mitchell, MD

• Physician Assistant in Salinas, CA
• Providers in Salinas, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; 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.