Individual provider Active NPI

Miranda Warburton, PH.D., CMT

  • Contractor
  • Los Gatos, CA
National Provider Identifier
1730449745
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
33478 Issued in CA
Practice address
20 S Santa Cruz Ave
Suite 307
Los Gatos, CA 95030-6830
Phone
(408) 354-5588
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X 33478 CA Primary

Addresses

Primary practice location

20 S Santa Cruz Ave
Suite 307
Los Gatos, CA 95030-6830

Mailing address

20 S Santa Cruz Ave
Suite 307
Los Gatos, CA 95030-6830
Phone (408) 354-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33478CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1730449745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE",
            "address_2": "SUITE 307",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306830",
            "telephone_number": "408-354-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE",
            "address_2": "SUITE 307",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306830",
            "telephone_number": "408-354-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARBURTON",
        "first_name": "MIRANDA",
        "credential": "PH.D., CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "CA",
            "license": "33478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.