Mira Mace Medical Services West PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIRA MACE MEDICAL SERVICES WEST PC

Practice address

2445 Augustine Dr
Santa Clara, CA 95054-3032

Phone

(332) 296-0021

NPI assigned

Dec 10, 2025

Last updated

Jun 3, 2026By 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

Prashant Kumar

Title

Operations Administrator

Phone

(332) 296-0021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, NC2 enrollments

Enrollment records 2

Locations

Practitioners 2

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.

• Fatima Yousef Hussein, MD

  • Family Medicine Physician
  • Venice, CA
  • NPI 1245233717

  MD

  Medicare reassignment Care Compare group
• Jenny Marie Griffin, D.O.

  • Family Medicine Physician
  • High Point, NC
  • NPI 1336282011
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1902760333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111B S GOVERNORS AVE STE 39475",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199046903",
            "telephone_number": "332-296-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 AUGUSTINE DR",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950543032",
            "telephone_number": "332-296-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRA MACE MEDICAL SERVICES WEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-10",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "PRASHANT",
        "authorized_official_title_or_position": "OPERATIONS ADMINISTRATOR",
        "authorized_official_telephone_number": "332-296-0021"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Kay Miller, PMHNP
• Jedida Milton
• Kai Chia Kevin Min, O.M.D., L.AC.
• Mindful RX LLC
• Katherine Minutillo
• Fabian Miranda
• Kathryn Miranda, RN
• Ratna Mirchandani
• Manu Misra
• Pratima Misra, MD

• Family Medicine Physician in Santa Clara, CA
• Providers in Santa Clara, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.