DR. GABRIEL MIRANDA M.D. NPI 1952377756

NPI Details

DR. Gabriel Miranda, M.D. is a family medicine in Fremont, CA with 48 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Gabriel Miranda, M.D. NPI is 1952377756. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLLEGE OF MEDICINE AND SURGERY
Graduation Year:1977

The provider's business location address is:

34167 FREMONT BLVD
FREMONT, CA
ZIP 94555-230
Phone: (510) 790-6315

The NPI 1952377756 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 CLIA number assigned to this NPI record is 05D0599648 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Pneumococcal vaccine, 23-valent (HCPCS:90732)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
• Pneumococcal vaccine, 13-valent (HCPCS:90670)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)

The enumeration date for this NPI number is 2/23/2006 and was last updated on 7/29/2010.

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:

Other Identifiers

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