Active NPI
Jessica Miranda
- Registered Nurse
- Los Angeles, CA
National Provider Identifier
1992680979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95426862
- Practice address
- 2070 Century Park E
Los Angeles, CA 90067-1907 - Phone
- (424) 522-7100
- NPI assigned
- Aug 8, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95426862 | CA | Primary |
Addresses
Primary practice location
2070 Century Park E
Los Angeles, CA 90067-1907
Mailing address
4165 Verdugo View Dr
Los Angeles, CA 90065-4315
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95426862 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1992680979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4165 VERDUGO VIEW DR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900654315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2070 CENTURY PARK E",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900671907",
"telephone_number": "424-522-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-08-08",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95426862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.