ROYA MIRMIRAN DPM NPI 1518084003

NPI Information

NPI: 1518084003
Provider Name: ROYA MIRMIRAN, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: SUTTER VALLEY MEDICAL FOUNDATION

PECOS Registration: Yes

Address:
2725 CAPITOL AVE
SUITE 302
SACRAMENTO, CA
ZIP 95816
Phone: (916) 262-9464
Get Directions

Roya Mirmiran, DPM is a foot and ankle surgery podiatrist in Sacramento, CA with 26 years of experience. Roya Mirmiran, DPM NPI is 1518084003. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduation Year:1998

The provider's business location address is:

2725 CAPITOL AVE
SUITE 302
SACRAMENTO, CA
ZIP 95816-004
Phone: (916) 262-9464
Fax: (916) 262-9468

The NPI 1518084003 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).

The enumeration date for this NPI number is 3/22/2007 and was last updated on 3/11/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	263	NEW MEXICO	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	E5246	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	343431300	MEDICARE PIN	NEW MEXICO
2	U82188	MEDICARE UPIN
3	000B5859	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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.

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