Raymond Miranda, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G66119 Issued in CA

Practice address

7025 N Maple Ave Ste 108
Fresno, CA 93720-8006

Phone

(559) 431-6600

Fax

(559) 431-6106

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: miranda.raymond.005.0050932@cvp.meditab.direct-ci.com

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.

• Central Valley Pediatrics

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1285906941
  NPD Authorized official
• Central Valley Pediatrics , Inc

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1003992710
  NPD Authorized official
• Fresno Community Hospital and Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1497797112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7025 N MAPLE AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208006",
            "telephone_number": "559-431-6600",
            "fax_number": "559-431-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 N MAPLE AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937208006",
            "telephone_number": "559-431-6600",
            "fax_number": "559-431-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G66119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "G66119",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G66119",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Miranda
• Elizabeth Ann Miranda
• Gabriela Miranda
• Matthew Miranda
• Meigan Ann Miranda
• Selina Miranda
• Tania Grijalva Miranda
• Veronica Marquez Miranda, SUDCC
• Kayla Mireles
• Michelle Nicole Mireles

• Pediatrics Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.