Individual provider Active NPI

Cristian Herrera-Miranda

  • Marriage & Family Therapist
  • Oxnard, CA
National Provider Identifier
1730666314
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
1500 Camino del Sol Ste 1
Oxnard, CA 93030-3725
Phone
(805) 278-0799
NPI assigned
Jul 25, 2018
Last updated
Oct 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU
Case Manager/Care Coordinator 171M00000X NU

Addresses

Primary practice location

1500 Camino del Sol Ste 1
Oxnard, CA 93030-3725

Mailing address

1730 Montevina Cir Apt 709
Oxnard, CA 93030-0691
Phone (818) 647-5259

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

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1730666314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 MONTEVINA CIR APT 709",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300691",
            "telephone_number": "818-647-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CAMINO DEL SOL STE 1",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303725",
            "telephone_number": "805-278-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA-MIRANDA",
        "first_name": "CRISTIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-25",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxnard, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.