Active NPI
Marvi Miranda, M.D.
- General Practice Physician
- Delhi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A143356
- Practice address
- 9696 Stephens St
Delhi, CA 95315-9550 - Phone
- (209) 667-0702
- Fax
- (209) 667-6737
- NPI assigned
- Jan 13, 2015
- Last updated
- Dec 11, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| General Practice Physician | 208D00000X | A143356 | CA | Primary |
Addresses
Primary practice location
9696 Stephens St
Delhi, CA 95315-9550
Mailing address
PO Box 3768
Merced, CA 95344-3768
Phone (209) 725-7149
Other practice location 1
3605 Hospital Rd
Atwater, CA 95301-5173
Phone (209) 723-3704
Other practice location 2
374 W Olive Ave Ste A
Merced, CA 95348-3181
Phone (209) 384-5766
Other practice location 3
1675 Shaffer Rd
Atwater, CA 95301-4456
Phone (209) 383-5500
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marvi.miranda.1@3012.direct.athenahealth.com | Direct | |
| Direct Messaging Address | marvi.miranda.1@3012.direct.athenahealth.com | Direct |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1675 Shaffer Rd
Atwater, CA 95301-4456
Phone (209) 383-5500
9696 Stephens St
Delhi, CA 95315-9550
Phone (209) 667-0702
Hospital & facility affiliations
- Mercy Home Care
- Covenant Care at Home
- Careone Home Health and Hospice, Inc
- Mercy Medical Center
- Emanuel Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.64 of 100
- Quality
- 86.27
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A143356 | CA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced Faculty Associates Medical Group, Incorporated | Current | Accepting new patients | |
| Merced Faculty Associates Medical Group Incorporated | Current | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
1675 Shaffer Rd
Atwater, CA 95301
Phone (209) 357-5121
3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000
9696 Stephens St
Delhi, CA 95315
Phone (209) 667-0702
374 W Olive Ave
Ste A
Merced, CA 95348
Phone (209) 205-1001
535 W 25th St
Merced, CA 95340
Phone (209) 722-9066
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://api.platform.athenahealth.com/3012/brand/1/csg/1/fhir/r4
- marvi.miranda.1@3012.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Merced, CA
- NPI 1285623256
-
dba MFA G Street
- Family Medicine Physician
- Merced, CA
- NPI 1003231341
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Salida, CA
- NPI 1972809838
-
dba Mercy Medical Center Merced
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
dba Emanuel Medical Center
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1609265602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3768",
"city": "MERCED",
"state": "CA",
"postal_code": "953443768",
"telephone_number": "209-725-7149",
"fax_number": "209-726-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9696 STEPHENS ST",
"city": "DELHI",
"state": "CA",
"postal_code": "953159550",
"telephone_number": "209-667-0702",
"fax_number": "209-667-6737"
}
],
"practiceLocations": [
{
"address_1": "3605 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Atwater",
"state": "CA",
"postal_code": "953015173",
"country_code": "US",
"telephone_number": "209-723-3704",
"fax_number": "209-723-0272",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "374 W Olive Ave Ste A",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953483181",
"country_code": "US",
"telephone_number": "209-384-5766",
"fax_number": "209-383-4230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1675 Shaffer Rd",
"address_purpose": "LOCATION",
"city": "Atwater",
"state": "CA",
"postal_code": "953014456",
"country_code": "US",
"telephone_number": "209-383-5500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA",
"first_name": "MARVI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-13",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "A143356",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marvi.miranda.1@3012.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1675 Shaffer Rd",
"city": "Atwater",
"state": "CA",
"country_code": "US",
"postal_code": "953014456",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marvi.miranda.1@3012.direct.athenahealth.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "9696 Stephens St",
"city": "Delhi",
"state": "CA",
"country_code": "US",
"postal_code": "953159550",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Delhi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.