Active NPI
Miranda Leigh Naylor, DO
- Family Medicine Physician
- Laguna Beach, CA
National Provider Identifier
1508108333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A14096
- Practice address
- 333 Thalia St
Laguna Beach, CA 92651-2713 - Phone
- (714) 577-6031
- Fax
- (714) 572-2562
- NPI assigned
- Mar 19, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A14096 | CA | Primary |
Addresses
Primary practice location
333 Thalia St
Laguna Beach, CA 92651-2713
Mailing address
18200 Yorba Linda Blvd
Suite 401
Yorba Linda, CA 92886-4056
Phone (714) 646-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2021 through Feb 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A14096 | CA | MD | Family Medicine Physician |
| 14096 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469145600000",
"number": "1508108333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18200 YORBA LINDA BLVD",
"address_2": "SUITE 401",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928864056",
"telephone_number": "714-646-8000",
"fax_number": "714-572-2562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 THALIA ST",
"city": "LAGUNA BEACH",
"state": "CA",
"postal_code": "926512713",
"telephone_number": "714-577-6031",
"fax_number": "714-572-2562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAYLOR",
"first_name": "MIRANDA",
"middle_name": "LEIGH",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2016-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A14096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.