KENNETH MIRANDA LPT
NPI 1023137619
Licensed Psychiatric Technician in San Francisco, CA

Active since March 28, 2007
375 WOODSIDE AVE, BLDG W-3, SAN FRANCISCO, CA 94127(415) 753-4443 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth Miranda Lpt NPPES

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

KENNETH MIRANDA LPT (NPI 1023137619) is an individual licensed psychiatric technician in San Francisco, California, licensed in California (12479) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1023137619
Entity TypeIndividualMale
Primary Taxonomy167G00000X
Provider Legal NameKENNETH MIRANDACredential: LPT
Location Address375 WOODSIDE AVE, BLDG W-3San Francisco, CA 94127-1221
Mailing Address375 Woodside Ave, Bldg W-3San Francisco, CA 94127-1221 · (415) 753-4443
Sole ProprietorNo
Enumeration DateMarch 28, 2007
Last NPPES UpdateJuly 16, 2007
NPI 1023137619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License Licensed in CA · 12479
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
375 WOODSIDE AVE, San Francisco, CA 94127

Other Identifiers 2

Other486Cbhs Internal Use Only-commercial Number
Other486Sfgh Internal Use Only

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.

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
375 WOODSIDE AVE
SAN FRANCISCO, CA 94127
Social Worker (Clinical)
375 WOODSIDE AVE
SAN FRANCISCO, CA 94127
Registered Nurse
375 WOODSIDE AVE
SAN FRANCISCO, CA 94127
Student in an Organized Health Care Education/Training Program
375 WOODSIDE AVE
SAN FRANCISCO, CA 94127
Social Worker (Clinical)
375 WOODSIDE AVE
SAN FRANCISCO, CA 94127
Social Worker (Clinical)
375 WOODSIDE AVE, SPY MEDICAL CLINIC
SAN FRANCISCO, CA 94127
Social Worker (Clinical)
375 WOODSIDE AVE, BLDG W-3
SAN FRANCISCO, CA 94127
Student in an Organized Health Care Education/Training Program
375 WOODSIDE AVE
SAN FRANCISCO, CA 94127

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 Kenneth Miranda's NPI number?

The NPI number for Kenneth Miranda is 1023137619. It was assigned to this individual provider in the NPPES registry on March 28, 2007.

Where is Kenneth Miranda located?

Kenneth Miranda practices at 375 Woodside Ave Bldg W-3, San Francisco, CA 94127. The listed phone number is (415) 753-4443.

What is Kenneth Miranda's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Miranda was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.