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DR. EDWARD P. MIRANDA M.D. NPI 1710946868


NPI Information

NPI: 1710946868
Provider Name: DR. EDWARD P. MIRANDA, M.D.
Classification: Plastic Surgery - 208200000X
Entity Type: Individual
Organization: EDWARD P. MIRANDA MD A MEDICAL CORPORATION

PECOS Registration: Yes

Address:
77 VAN NESS AVENUE
SUITE 302
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 379-9015
Get Directions

DR. Edward P. Miranda, M.D. is a plastic surgery in San Francisco, CA with 23 years of experience. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. DR. Edward P. Miranda, M.D. NPI is 1710946868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year:2001

The provider's business location address is:

77 VAN NESS AVENUE
SUITE 302
SAN FRANCISCO, CA
ZIP 94102
Phone: (415) 379-9015
Fax: (415) 379-9045

The NPI 1710946868 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/18/2006 and was last updated on 9/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic Surgery232599NEW YORKNo
22082S0099XPlastic SurgeryPlastic Surgery Within the Head and NeckA82349CALIFORNIANo
32082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck232599NEW YORKNo
42082S0105XPlastic SurgerySurgery of the HandA82349CALIFORNIANo
52082S0105XPlastic SurgerySurgery of the Hand232599NEW YORKNo
6208600000XSurgeryA82349CALIFORNIANo
7208600000XSurgery232599NEW YORKNo
82086S0105XSurgerySurgery of the HandA82349CALIFORNIANo
92086S0105XSurgerySurgery of the Hand232599NEW YORKNo
102086S0122XSurgeryPlastic and Reconstructive Surgery232599NEW YORKNo
112086S0122XSurgeryPlastic and Reconstructive SurgeryA82349CALIFORNIANo
12208D00000XGeneral PracticeA82349CALIFORNIANo
13208200000XPlastic SurgeryA82349CALIFORNIAYes
14208D00000XGeneral Practice232599NEW YORKNo
15209800000XLegal MedicineA82349CALIFORNIANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A823490MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.