Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073554168 Individual Practitioner Male Practitioner

Dr. Conrad J R Miranda , MD

General Practice • Northridge, CA

Professional Overview & Biography Verified Profile Summary

Dr. Conrad Miranda, MD is a registered healthcare professional specializing in General Practice in Northridge, CA. Practice services are available at 9900 BALBOA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9900 Balboa Blvd
Suite A

Northridge, CA 913255403

Telephone 8187010017
Fax 8187010073
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Northridge, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 55.0 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
6 Specialists

Practicing in Northridge, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA C51139

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physician Ca License
C51139 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Hee Jong Choi , LAC

Physician Assistant

NPI 1124189501

Licensed Acupuncturist

NPI 1417044132

Doctor of Medicine (M.D.)

Dr. James Thomas , MD

Family Medicine

NPI 1780912683

Doctor of Medicine (M.D.)

Dr. Stacey Naito , DO

Family Medicine

NPI 1902106560

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 9900 BALBOA BLVD, SUITE A, NORTHRIDGE, CA 913255403 (Tel: 8187010017)

📍
Updated Business Mailing Address July 08, 2007

Registered at 9900 BALBOA BLVD, SUITE A, NORTHRIDGE, CA 913255403 (Tel: 8187010017)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CONRAD MIRANDA, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #C51139 in CA)

🟢
Initial NPI Registration & Enumeration June 09, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073554168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

9900 Balboa Blvd, Suite A

Northridge, CA 913255403

Phone: 8187010017

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.