Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIRANDA MANGAHAS
NPI 1265354179
Nurse Practitioner - Primary Care in Gold River, CA

Q: What is Miranda Mangahas's NPI number?

The NPI number for Miranda Mangahas is 1265354179. It was assigned to this individual provider in the NPPES registry on July 30, 2026.

Q: What is Miranda Mangahas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Miranda Mangahas was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since July 30, 2026PECOS Enrolled

2485 SUNRISE BLVD STE A, GOLD RIVER, CA 95670(916) 642-1867 Get Directions Write a Review

NPPES record added: July 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Miranda Mangahas NPPES

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

MIRANDA MANGAHAS (NPI 1265354179) is an individual primary care provider in Gold River, California, licensed in California (95040720) and active in the NPI registry since July 2026. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265354179

Entity TypeIndividual

Primary Taxonomy363LP2300X

Provider Legal NameMIRANDA MANGAHAS

Location Address2485 SUNRISE BLVD STE AGold River, CA 95670-4344

Mailing Address601 Ore Cart CtEl Dorado Hills, CA 95762-6614

Phone(916) 642-1867

Sole ProprietorNo

Enumeration DateJuly 30, 2026

NPPES CertifiedJuly 30, 2026

✔ NPI 1265354179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in CA · 95040720

2485 SUNRISE BLVD STE A, Gold River, CA 95670

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Mangahas 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 95670 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

$92.61 typical visit price

range $60.44 – $180.85

Typical copayment $23.15 (range $15.11 – $45.21)

Most-billed visit code 99203

Established Patient

$105.95 typical visit price

range $19.88 – $148.15

Typical copayment $26.48 (range $4.97 – $37.03)

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.

MR. ERIC EDWIN SAMUELSON FNP-C

Nurse Practitioner (Family)