David Jude Miramontes Sr., CAARR CERTIFIED

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

03-066661 CAARR Issued in CA

Practice address

3556 El Camino Real
Atascadero, CA 93422-2532

Phone

(805) 461-6080

Fax

(805) 461-6114

NPI assigned

Aug 28, 2010

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282953600000",
    "number": "1972819829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 JOHNSON AVE",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934014513",
            "telephone_number": "805-781-4275",
            "fax_number": "805-781-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 EL CAMINO REAL",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934222532",
            "telephone_number": "805-461-6080",
            "fax_number": "805-461-6114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRAMONTES",
        "first_name": "DAVID",
        "middle_name": "JUDE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CAARR CERTIFIED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-28",
        "last_updated": "2010-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "03-066661 CAARR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Lynn Miller
• Ann Marie Miller, MD, PHD
• Krisitana Lynn Hatcher Miller
• Melissa Miller, PSYD
• Leigh Koell Mindnich
• Nicholas Brandon Mireles
• Cindy Mitchell, PHD
• Sean Ingram Mitchell
• Vivian Mitchell, APCC
• Morgan Miyoshi

• Addiction (Substance Use Disorder) Counselor in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2010; 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.