Godofredo G Miranda, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A31328 Issued in CA

Practice address

1817 Truxtun Ave
Truxtun Radiology Medical Group LP
Bakersfield, CA 93301

Phone

(661) 325-6800

Fax

(661) 325-4734

NPI assigned

Jan 23, 2007

Last updated

Feb 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1720023997
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1932254927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 TRUXTUN AVE",
            "address_2": "TRUXTUN RADIOLOGY MEDICAL GROUP LP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-325-6800",
            "fax_number": "661-325-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 TRUXTUN AVE",
            "address_2": "TRUXTUN RADIOLOGY MEDICAL GROUP LP",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "93301",
            "telephone_number": "661-325-6800",
            "fax_number": "661-325-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRANDA",
        "first_name": "GODOFREDO",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A31328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Minor
• Xsymphoni F Miramontes
• Gricelda Vanessa Miramontez
• Elva M. Miranda, MD
• Erika Miranda, LMFT
• Martha Araceli Miranda
• Mary Miranda, CPHT
• Renee May Sayson Miranda, M.D.
• Rodrigo M. Miranda, MD
• Vevee Miranda

• Diagnostic Radiology Physician in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.