Organization Active NPI

Miora

  • Health Educator
  • Santa Rosa, CA
National Provider Identifier
1700643970
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
MIORA
Practice address
4546 Grange Road
Santa Rosa, CA 95404
Phone
(310) 595-4094
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Dr. Ozlem Equils, MD, FAAP
Title
President, Founder
Phone
(310) 595-4094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

4546 Grange Road
Santa Rosa, CA 95404

Mailing address

17328 Ventura Blvd # 190
Encino, CA 91316-3904
Phone (310) 595-4094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1700643970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17328 VENTURA BLVD # 190",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163904",
            "telephone_number": "310-595-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4546 GRANGE ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "310-595-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "EQUILS",
        "authorized_official_first_name": "OZLEM",
        "authorized_official_title_or_position": "PRESIDENT, FOUNDER",
        "authorized_official_telephone_number": "310-595-4094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FAAP"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.