DR. EDWARD P. MIRANDA (NPI# 1710946868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710946868 |
| Entity Type | Individual |
| Full Name | DR. EDWARD P. MIRANDA |
| Credential | M.D. |
| Practice Address |
77 Van Ness Avenue Suite 302 San Francisco CA 94102 |
| Practice Telephone | 4153799015 |
| Practice Fax Number | 4153799045 |
| Mailing Telephone | 4153799015 |
| Mailing Fax Number | 4153799045 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2017-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 232599 | NY | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | A82349 | CA | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
232599 | NY | Allopathic & Osteopathic Physicians |
| N | 2082S0099X |
Plastic Surgery Specialization: Plastic Surgery Within the Head and Neck |
A82349 | CA | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
232599 | NY | Allopathic & Osteopathic Physicians |
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
A82349 | CA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 232599 | NY | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | A82349 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
232599 | NY | Allopathic & Osteopathic Physicians |
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
A82349 | CA | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
232599 | NY | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
A82349 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 232599 | NY | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | A82349 | CA | Allopathic & Osteopathic Physicians |
| N | 209800000X | Legal Medicine | A82349 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
77 VAN NESS AVENUE SUITE 302 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508041583 | Kelly Mackenzie Arditi | Physician Assistant | 77 Van Ness Avenue, Suite 302, San Francisco, CA 94102 | 2008-01-08 |
| 1215112347 | Edward P. Miranda Md A Medical Corporation | Plastic Surgery | 77 Van Ness Avenue, Suite 302, San Francisco, CA 94102 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849318 | Alvin Vallejo | Registered Nurse | 30 Van Ness, Suite 2300, San Francisco, CA 94102 | 2020-04-07 |
| 1831731041 | Erica Keller | Physician Assistant | 1998 Market Street, Within Carbon Health, San Francisco, CA 94102 | 2019-10-09 |
| 1790342368 | Emma Victoria Mc Arthur | Acupuncturist | 364 Hayes Street, Second Floor, San Francisco, CA 94102 | 2019-05-20 |
| 1265926489 | Sharon Lee Haynes | Counselor | 711 Van Ness Ave Ste 500, San Francisco, CA 94102 | 2018-06-20 |
| 1487166898 | Therapia Health Management Inc. | Clinic/Center | 1390 Market St. Suite 200, San Francisco, CA 94102 | 2017-10-26 |
| 1700395456 | Faiza Saeed | Community Health Worker | 315 Turk Street, San Francisco, CA 94102 | 2017-09-26 |
| 1093255184 | Abigail Roh | Counselor | 50 Ivy St., San Francisco, CA 94102 | 2017-03-08 |
| 1598214173 | See Saw Seen Optometry | Optometrist | 515 Gough Street, San Francisco, CA 94102 | 2016-09-24 |
| 1841744505 | Kyra Lee | Dentist | 490 Post St Ste 1450, San Francisco, CA 94102 | 2016-08-11 |
| 1255702528 | Jins Eyewear Us, Inc. | Technician/Technologist | 151 Powell St., San Francisco, CA 94102 | 2015-10-13 |
| Find all providers in zip 94102 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008423 | Shahin Javaheri Md A Professional Corporation | Plastic Surgery | 2100 Webster St Ste 502, San Francisco, CA 94115-2381 | 2018-03-27 |
| 1326386590 | Albert W. Chow, Md, Inc. | Plastic Surgery | 1 Daniel Burnham Ct Ste 368c, San Francisco, CA 94109-0470 | 2013-01-23 |
| 1164729927 | Chia Jen Chung, Md, Inc. | Plastic Surgery | 390 Laurel St Ste 205, San Francisco, CA 94118-1953 | 2011-02-14 |
| 1225334873 | Kate Buretta Krucoff | Plastic Surgery | 45 Castro St Ste 121, San Francisco, CA 94114-1019 | 2011-01-30 |
| 1972790699 | Sirish Maddali, M.d., Inc. | Plastic Surgery | 390 Laurel Street, Suite 205, San Francisco, CA 94118-1953 | 2007-09-26 |
| 1023214343 | Dellon Institute for Peripheral Nerve Surgery Northern California | Plastic Surgery | 2345 Balboa St, San Francisco, CA 94121-2912 | 2007-06-23 |
| 1053451518 | Jordan C Deschamps-braly | Plastic Surgery | 360 Post St Ste 901, San Francisco, CA 94108-4988 | 2007-02-07 |
| 1104990316 | Rose Mary Jacinta Lewis | Plastic Surgery | 332 Warren Dr, San Francisco, CA 94131-1034 | 2006-11-20 |
| 1396824835 | Andrew Barnett | Plastic Surgery | 450 Sutter St Rm 1123, San Francisco, CA 94108-3913 | 2006-11-03 |
| 1760573794 | Te Ning Chang | Plastic Surgery | 2250 Hayes St Ste 540, San Francisco, CA 94117-1078 | 2006-09-27 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94102 |
Please comment or provide details below to improve the information on DR. EDWARD P. MIRANDA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.