CANDY MIRANDA AGACNP-BC
NPI 1225547854
Nurse Practitioner - Acute Care in Loma Linda, CA
About Candy Miranda Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CANDY MIRANDA AGACNP-BC (NPI 1225547854) is an individual acute care provider in Loma Linda, California, licensed in California (95006976) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Candy Miranda Agacnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Candy Miranda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Loma Linda, CA 92350
- Reassigned Medicare billing, California enrollment
- 2,584 clinicians in this Medicare group
Anaheim, CA 92807
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92354 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
LOMA LINDA, CA 92354
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 Candy Miranda's NPI number?
The NPI number for Candy Miranda is 1225547854. It was assigned to this individual provider in the NPPES registry on September 27, 2017.
Where is Candy Miranda located?
Candy Miranda practices at 11234 Anderson St, Loma Linda, CA 92354. The listed phone number is (909) 558-4000.
What is Candy Miranda's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Candy Miranda enrolled in Medicare?
Yes. Candy 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.
Which organizations bill Medicare for Candy Miranda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Candy Miranda reassigns Medicare benefits to 2 organizations: Faculty Physicians And Surgeons Of Llusm (Loma Linda, CA) and Southern California Permanente Medical Group (Anaheim, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Candy Miranda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Candy Miranda was last updated on November 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Candy Miranda, AGACNP-BC · NPI 1225547854
Acute Care physician in Loma Linda, California. Individual provider, active in the CMS NPPES registry since September 27, 2017.
## Identity
- **NPI:** 1225547854 (Entity type: Individual)
- **Enumerated:** September 27, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 95006976 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 11234 ANDERSON ST, Loma Linda, CA 92354-2804
- **Phone:** (909) 558-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Faculty Physicians And Surgeons Of Llusm (NPI 1477503407, Loma Linda, CA); Southern California Permanente Medical Group (NPI 1952333460, Anaheim, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1225547854) · Data from the CMS NPPES public registry.