ELIZABETH ANTONIO MIRANDA MPH
NPI 1114389483
Surgery - Vascular Surgery in Los Angeles, CA

Active since March 24, 2016PECOS EnrolledAccepts Medicare Assignment
69.53/100
CMS Quality Rating
1520 SAN PABLO ST STE 4300, LOS ANGELES, CA 90033(323) 442-5755 Get Directions Write a Review

NPPES record last updated: September 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2018, Mar 24, 2016 (2 updates tracked since 2016).

About Elizabeth Antonio Miranda Mph NPPES

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

ELIZABETH ANTONIO MIRANDA MPH (NPI 1114389483) is an individual vascular surgery provider in Los Angeles, California, licensed in California (A156041) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Pasadena, and is a graduate of University Of Southern California Keck School Of Medicine (2016).

NPPES Registry Identity

NPI1114389483
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameELIZABETH ANTONIO MIRANDACredential: MPH
Location Address1520 SAN PABLO ST STE 4300Los Angeles, CA 90033
Mailing Address1520 San Pablo St Ste 4300Los Angeles, CA 90033-5330 · (904) 866-0303
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 2016
Enumeration DateMarch 24, 2016
Last NPPES UpdateSeptember 24, 20182 updates tracked since enumeration
NPI 1114389483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in CA · A156041
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

1520 SAN PABLO ST STE 4300, Los Angeles, CA 90033

Secondary Practice Location 1

Location 1711 Orange Grove Ave, Apt 302South Pasadena, CA 91030-2453 · Phone (904) 866-0303

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Elizabeth Antonio Miranda Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325449846
PECOS Enrollment IDI20230912001683
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
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality46.04
Improvement Activities40

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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Physician Assistant (Surgical)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Dietitian, Registered
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Nurse Practitioner (Acute Care)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1520 SAN PABLO ST STE 4300
LOS ANGELES, CA 90033

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 Elizabeth Miranda's NPI number?

The NPI number for Elizabeth Miranda is 1114389483. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Elizabeth Miranda located?

Elizabeth Miranda practices at 1520 San Pablo St Ste 4300, Los Angeles, CA 90033. The listed phone number is (323) 442-5755.

What is Elizabeth Miranda's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Elizabeth Miranda enrolled in Medicare?

Yes. Elizabeth Miranda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elizabeth Miranda was last updated on September 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.