Crystal Mae Miron

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

3281 Issued in CA

Practice address

404 Camino del Rio S # 508
San Diego, CA 92108-3503

Phone

(619) 325-0154

NPI assigned

Sep 21, 2016

Last updated

Sep 21, 2016By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1437608270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CAMINO DEL RIO S # 508",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083503",
            "telephone_number": "619-325-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 CAMINO DEL RIO S # 508",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083503",
            "telephone_number": "619-325-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRON",
        "first_name": "CRYSTAL",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-21",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "3281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Steven Mirisch, P. T., DPT, MBA
• Kamron Mirkarimi, M.D.
• Morteza Mirkarimi, MD
• Masha Mirkin, DMD
• Mojdeh Seyedeh Mirmomen
• Jean-Philippe Miron
• Regina Theresa Mirski, MD
• Alexander Mirth
• Sophia Mirth
• Sierra Mirvis, RD

• Occupational Therapy Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.