CHRISTIAN ERIN FAULKENBERRY MIRANDA M.D.
NPI 1104028406
Pediatrics in Fresno, CA

Active since May 31, 2007PECOS Enrolled
290 N WAYTE LN # 1300, FRESNO, CA 93701(866) 342-6012(866) 342-6012 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christian Erin Faulkenberry Miranda M.d. NPPES

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

CHRISTIAN ERIN FAULKENBERRY MIRANDA M.D. (NPI 1104028406) is an individual pediatrics provider in Fresno, California, licensed in California (A95426) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104028406
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCHRISTIAN ERIN FAULKENBERRY MIRANDACredential: M.D.
Location Address290 N WAYTE LN # 1300Fresno, CA 93701-2124
Mailing Address2625 E Divisadero StFresno, CA 93721-1431 · (559) 443-2682 · Fax (559) 443-2681
Fax(866) 342-6012
Sole ProprietorNo
Enumeration DateMay 31, 2007
Last NPPES UpdateJanuary 14, 2020
NPI 1104028406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A95426
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
290 N WAYTE LN # 1300, Fresno, CA 93701

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Christian Erin Faulkenberry Miranda M.d. 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 93701 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Pediatrics)
290 N WAYTE LN # 1300
FRESNO, CA 93701
Nurse Practitioner (Pediatrics)
290 N WAYTE LN # 1300
FRESNO, CA 93701
Pediatrics
290 N WAYTE LN # 1300
FRESNO, CA 93701
Nurse Practitioner (Pediatrics)
290 N WAYTE LN # 1300
FRESNO, CA 93701
Nurse Practitioner (Pediatrics)
290 N WAYTE LN # 1300
FRESNO, CA 93701

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 Christian Faulkenberry Miranda's NPI number?

The NPI number for Christian Faulkenberry Miranda is 1104028406. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Christian Faulkenberry Miranda located?

Christian Faulkenberry Miranda practices at 290 N Wayte Ln # 1300, Fresno, CA 93701. The listed phone number is (866) 342-6012.

What is Christian Faulkenberry Miranda's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Christian Faulkenberry Miranda enrolled in Medicare?

Yes. Christian Faulkenberry Miranda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christian Faulkenberry Miranda was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.