Elisabeth Miramontes, CPO

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

1035 S Fair Oaks Ave Ste 102
Pasadena, CA 91105-2654

Phone

(626) 403-8174

NPI assigned

Feb 13, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1720842461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 S FAIR OAKS AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052654",
            "telephone_number": "626-403-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 S FAIR OAKS AVE STE 102",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052654",
            "telephone_number": "626-403-8174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAMONTES",
        "first_name": "ELISABETH",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mintwood Pharmacueticals, Inc. (Mintwood Pharmacy)
• Mary A Mioux Berry, DO
• Mohsen Mir, DDS
• Lisa Alexandra Mirabelli, PSY.D.
• Miracle Hearts Home Health Care, Inc.
• Stephanie Nicole Miramontez
• Alejandra Miranda
• Andrew Miranda
• Carolina Ana Miranda, ASW
• Giselle Miranda

• Orthotist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Orthotist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.