EVELYN EILEEN MIRANDA
NPI 1053988584
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Evelyn Miranda's NPI number?

The NPI number for Evelyn Miranda is 1053988584. It was assigned to this individual provider in the NPPES registry on June 4, 2021.

Q: What is Evelyn Miranda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Evelyn Miranda was last updated on April 30, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 04, 2021PECOS Enrolled

1100 N STATE ST, LOS ANGELES, CA 90033(323) 409-5227 Get Directions Write a Review

NPPES record last updated: April 30, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 30, 2024, Jun 22, 2021, Jun 4, 2021 (3 updates tracked since 2021).

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About Evelyn Eileen Miranda NPPES

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

EVELYN EILEEN MIRANDA (NPI 1053988584) is an individual family provider in Los Angeles, California, licensed in California (95016999) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053988584

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEVELYN EILEEN MIRANDA

Location Address1100 N STATE STLos Angeles, CA 90033-5000

Mailing Address1100 N State St. - Department Of OphthalmologyLos Angeles, CA 90033-5000 · (323) 409-5227

Phone(323) 409-5227

Sole ProprietorYes

Enumeration DateJune 4, 2021

Last NPPES UpdateApril 30, 20243 updates tracked since enumeration

NPPES CertifiedJune 4, 2021

✔ NPI 1053988584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95016999

1100 N STATE ST, Los Angeles, CA 90033

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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)

Evelyn Eileen Miranda is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.