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MIRANDA MINH-HAN NGUYEN
NPI 1003421975
Physician Assistant in San Rafael, CA

Active since September 09, 2020PECOS Enrolled
4000 CIVIC CENTER DR, SAN RAFAEL, CA 94903(415) 492-3333 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Sep 9, 2020 (2 updates tracked since 2020).

About Miranda Minh-han Nguyen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA MINH-HAN NGUYEN (NPI 1003421975) is an individual physician assistant in San Rafael, California, licensed in California (60845) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003421975
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIRANDA MINH-HAN NGUYEN
Location Address4000 CIVIC CENTER DRSan Rafael, CA 94903-4171
Mailing Address6000 Fulton St Apt 1San Francisco, CA 94121-3450
Phone(415) 492-3333
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 9, 2020
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1003421975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 60845
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4000 CIVIC CENTER DR, San Rafael, CA 94903
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Minh-han Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961846845
PECOS Enrollment IDI20240219003365
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
191 services165 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
190 services135 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.67 typical visit price
range $69.07 – $202.63
Typical copayment $26.16 (range $17.26 – $50.65)
Most-billed visit code 99203
Established Patient
$85.00 typical visit price
range $23.44 – $166.64
Typical copayment $21.25 (range $5.86 – $41.66)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL J. SOLOMON, MD INC
Orthopaedic Surgery (Sports Medicine)
4000 CIVIC CENTER DR, SUITE 205
SAN RAFAEL, CA 94903
Marin County (415) 492-1600
DR. CRIZELDA LAURON O.D.
Optometrist
4000 CIVIC CENTER DR, SUITE 200A
SAN RAFAEL, CA 94903
Marin County (415) 444-0300
SHELLEY A PALFY MD
Pediatrics
4000 CIVIC CENTER DR, #205
SAN RAFAEL, CA 94903
Marin County (415) 479-7244
ESTEFANY GUTIERREZ
Behavior Technician
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (628) 877-0040
KURT HOYT KUNZEL MD
Emergency Medicine
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (209) 342-2300
RAJDEEP SINGH FNP
Nurse Practitioner (Family)
4000 CIVIC CENTER DR, SUITE 200
SAN RAFAEL, CA 94903
Marin County (415) 492-3333
PRIMA MEDICAL GROUP, INC.
Non-Pharmacy Dispensing Site
4000 CIVIC CENTER DR, 200
SAN RAFAEL, CA 94903
Marin County (415) 492-3333
CYNTHIA BILLMEYER CLARK MD
Emergency Medicine
4000 CIVIC CENTER DR
SAN RAFAEL, CA 94903
Marin County (209) 342-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Nguyen's NPI number?

The NPI number for Miranda Nguyen is 1003421975. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Where is Miranda Nguyen located?

Miranda Nguyen practices at 4000 Civic Center Dr, San Rafael, CA 94903. The listed phone number is (415) 492-3333.

What is Miranda Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Miranda Nguyen enrolled in Medicare?

Yes. Miranda Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Miranda Nguyen was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.