Jose Miranda MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

JOSE MIRANDA MD INC.

Practice address

12665 Garden Grove Blvd
#301
Garden Grove, CA 92843-1901

Phone

(714) 939-7500

NPI assigned

Jun 22, 2009

Last updated

Jun 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Miranda, M.D.NPI 1679616437

Title

Owner

Phone

(714) 939-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Paras Miranda, M.D.

  • Internal Medicine Physician
  • Auburn, CA
  • NPI 1679616437
  NPD (past) Authorized official

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

{
    "created_epoch": "1245628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1720216377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 571470",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841571470",
            "telephone_number": "310-388-9012",
            "fax_number": "310-388-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12665 GARDEN GROVE BLVD",
            "address_2": "#301",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431901",
            "telephone_number": "714-939-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE MIRANDA MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-22",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-939-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Joo
• Joong Y Park M D Medical Corp
• Joong Young Park M.D. Inc.
• Victor Jordan
• Joshua Jorge
• Joshua House, LLC (Northbound Treatment Services)
• Jennymarie Danielle Jost
• John Michael Jost
• Derrick Juan
• Axel Juarez Robles

• Internal Medicine Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.