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DR. MIRIAM MIKHAEL FIDAL DDS
NPI 1508638495
Dentist - General Practice in Yucaipa, CA

Active since October 25, 2023PECOS Enrolled
34880 YUCAIPA BLVD, YUCAIPA, CA 92399(909) 797-1136 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Miriam Mikhael Fidal Dds NPPES

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

DR. MIRIAM MIKHAEL FIDAL DDS (NPI 1508638495) is an individual general practice provider in Yucaipa, California, licensed in California (DDS109557) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newport Coast.

NPPES Registry Identity

NPI1508638495
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MIRIAM MIKHAEL FIDALCredential: DDS
Location Address34880 YUCAIPA BLVDYucaipa, CA 92399-4235
Mailing Address30 Via CoralleNewport Coast, CA 92657-1614 · (714) 580-3041
Phone(909) 797-1136
Sole ProprietorYes
Enumeration DateOctober 25, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1508638495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · DDS109557
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
34880 YUCAIPA BLVD, Yucaipa, CA 92399
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Secondary Practice Location 1

Location 130 Via CoralleNewport Coast, CA 92657-1614 · Phone (714) 580-3041

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miriam Mikhael Fidal Dds 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 92399 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

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.

DR. NATHANIEL WEN-WEI LENG D.D.S
Dentist (General Practice)
34880 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (909) 797-1136
DR. SUDHAKAR R CHOKKA DDS
Dentist (General Practice)
34880 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (909) 797-1136
SOOH PARK
Dentist (General Practice)
34880 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (909) 797-1136
CHOKKA DENTAL CORPORATION
Dentist (Orthodontics and Dentofacial Orthopedics)
34880 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (909) 797-1136
DR. KEVIN CHUNG DDS
Dentist (General Practice)
34880 YUCAIPA BLVD
YUCAIPA, CA 92399
San Bernardino County (909) 797-1136

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 Miriam Fidal's NPI number?

The NPI number for Miriam Fidal is 1508638495. It was assigned to this individual provider in the NPPES registry on October 25, 2023.

Where is Miriam Fidal located?

Miriam Fidal practices at 34880 Yucaipa Blvd, Yucaipa, CA 92399. The listed phone number is (909) 797-1136.

What is Miriam Fidal's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Miriam Fidal enrolled in Medicare?

Yes. Miriam Fidal is registered in the Medicare PECOS enrollment system.

What insurance does Miriam Fidal accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Miriam Fidal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Miriam Fidal was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.