Individual provider Active NPI

Erick Ruiz Miranda, M.D.

  • Emergency Medicine Physician
  • Petaluma, CA
National Provider Identifier
1669597167
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A95256 Issued in CA
Practice address
335 S McDowell Blvd
Petaluma, CA 94954-3507
Phone
(707) 293-1110
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A95256 CA Primary

Addresses

Primary practice location

335 S McDowell Blvd
Petaluma, CA 94954-3507

Mailing address

2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242

Other practice location 1

2395 Lombard St
San Francisco, CA 94123-2601
Phone (415) 796-2242

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822000601 CA Practitioner - Emergency Medicine 9335231398 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Harvard Medical School, 2004
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Petaluma Health Center IncGroup PAC ID 9133180375, shared by 8 NPIs, 76 clinicians
UCSF Health Medical FoundationGroup PAC ID 9436239878, 65 clinicians
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500

1310 El Camino Real
Suite I J
San Bruno, CA 94066-1305
Phone (650) 270-2395

199 W Portal Ave
San Francisco, CA 94127-1305
Phone (415) 821-8798

2895 Diamond St
San Francisco, CA 94131-3004
Phone (415) 964-4866

325 Gellert Blvd
Daly City, CA 94015-2613
Phone (650) 270-2394

3838 California St
RM 111
San Francisco, CA 94118-1504
Phone (415) 221-6476

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

  • Marinhealth Medical Center Hospital, Greenbrae, CA, CCN 050360

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Jul 2, 2025 Accepting new patients
UCSF Health Medical Foundation CurrentSince Oct 17, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 23, 2012 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 23, 2012 Accepting new patients
County of Santa Clara Current Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
UCSF Dept of Surgery Past Accepting new patients
Dignity Health Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Carbon Health Primary Care of California PC PastSince Feb 25, 2021 Accepting new patients
Orange County Urgent Care #3, Inc. Past Accepting new patients
County of Santa Clara Past Accepting new patients
UCSF Health Community Hospitals Past Accepting new patients
Petaluma Health Center Inc Past Accepting new patients

Locations

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800

345 S McDowell Blvd
Petaluma, CA 94954
Phone (707) 763-1423

1179 N McDowell Blvd
Petaluma, CA 94954

830 Jefferson Ave
Ste M
Redwood City, CA 94063
Phone (650) 381-0616

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

2395 Lombard St
San Francisco, CA 94123
Phone (415) 640-5024

3838 California St
Rm 111
San Francisco, CA 94118
Phone (415) 221-6476

2288 Market St
San Francisco, CA 94114
Phone (415) 379-2900

1801 Divisadero St
San Francisco, CA 94115
Phone (415) 965-7944

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

450 Stanyan St
Fl 6
San Francisco, CA 94117
Phone (415) 456-9680

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

4000 Civic Center Dr
Ste 206
San Rafael, CA 94903
Phone (415) 492-4800

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: emiranda667197@direct.ochin.org
  • Direct secure messaging: emiranda385104@direct-ucsfmedicalcenter.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1669597167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 LOMBARD ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232601",
            "telephone_number": "415-796-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S MCDOWELL BLVD",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543507",
            "telephone_number": "707-293-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2395 Lombard St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941232601",
            "country_code": "US",
            "telephone_number": "415-796-2242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "ERICK",
        "middle_name": "RUIZ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A95256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.