Faisal M Mirza, MD, FRCSC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

A85343 Issued in CA

Practice address

1820 Main St
Watsonville, CA 95076-3092

Phone

(831) 728-4227

Fax

(831) 728-0410

NPI assigned

Jul 18, 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

Medicare fee-for-service enrollment

Enrolled in IN, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fmirza01@yourcarecommunity.org

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.

• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Sacramento, CA
  • NPI 1700069549

  CA

  Medicare reassignment NPD
• City & County of San Francisco

  • Clinical Medical Laboratory
  • San Francisco, CA
  • NPI 1982737524

  CA

  Medicare reassignment NPD
• Mark Twain Medical Center

  • Critical Access Hospital
  • San Andreas, CA
  • NPI 1508968819

  CA

  Medicare reassignment NPD
• Surgical Affiliates of California

  • Surgery Physician
  • Los Banos, CA
  • NPI 1932440781

  CA

  Medicare reassignment NPD
• University of California SFGH Medical Group

  • Orthopaedic Surgery Physician
  • San Francisco, CA
  • NPI 1760457816

  CA

  Medicare reassignment NPD
• Harrison County Hospital

  • Internal Medicine Physician
  • Corydon, IN
  • NPI 1790892727

  IN

  Medicare reassignment NPD
• City & County of San Francisco

  • Community Health/Public Health Clinical Nurse Specialist
  • San Francisco, CA
  • NPI 1609041060
  NPD
• City and County of San Francisco

  • Methadone Clinic
  • San Francisco, CA
  • NPI 1578787925
  NPD
• University of California SFGH Medical Group

  • Vascular Surgery Physician
  • San Francisco, CA
  • NPI 1033913959
  NPD
• Harrison County Hospital

  • Rural Health Clinic/Center
  • Corydon, IN
  • NPI 1700779378
  NPD
• Acute Care Surgery Medical Group, Inc.

  • Surgery Physician
  • Westminster,, CO
  • NPI 1477239267
  NPD (past)
• Dunes Optical, LLC

  • Optometrist
  • Michigan City, IN
  • NPI 1306943436
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1528087178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NEILSON ST STE 102",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762491",
            "telephone_number": "831-728-4227",
            "fax_number": "831-728-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 MAIN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950763092",
            "telephone_number": "831-728-4227",
            "fax_number": "831-728-0410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 4th St # 463",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941071618",
            "country_code": "US",
            "telephone_number": "415-861-1680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "FAISAL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD, FRCSC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A85343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Christopher Miguel
• Norah Miller
• Shirley Ann Millico
• Christopher Mills, PA
• Monica Miramontes
• Sidney Mitchell, MD
• Joshua P Mitnick, DPM
• Vanessa Mo
• Monarch Services-Servicios Monarca
• Alejandro Monroy

• All providers in Watsonville, CA
• Sports Medicine (Orthopaedic Surgery) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.