ASHANTI MIRANDA
NPI 1528779733
Social Worker - Clinical in San Diego, CA

Active since December 08, 2022PECOS Enrolled
6555 AMBROSIA DR APT 1426, SAN DIEGO, CA 92124(360) 932-5035 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ashanti Miranda NPPES

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

ASHANTI MIRANDA (NPI 1528779733) is an individual clinical provider in San Diego, California, licensed in California (ASW103180) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ventura.

NPPES Registry Identity

NPI1528779733
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameASHANTI MIRANDA
Location Address6555 AMBROSIA DR APT 1426San Diego, CA 92124-3236
Mailing Address6555 Ambrosia Dr Apt 1426San Diego, CA 92124-3236
Sole ProprietorNo
Enumeration DateDecember 8, 2022
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1528779733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CA · ASW103180✔ Licensed in CA · LCSW120287
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6555 AMBROSIA DR APT 1426, San Diego, CA 92124

Secondary Practice Location 1

Location 11500 Palma Dr Fl 2Ventura, CA 93003-6451 · Phone (360) 932-5035

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashanti Miranda 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.

Medicare Billing Reassignment

Medicare enrollment records show Ashanti Miranda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
1500 PALMA DR FL 2
Ventura, CA 93003
  • Reassigned Medicare billing, California enrollment
  • 36 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 92124 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
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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 Ashanti Miranda's NPI number?

The NPI number for Ashanti Miranda is 1528779733. It was assigned to this individual provider in the NPPES registry on December 8, 2022.

Where is Ashanti Miranda located?

Ashanti Miranda practices at 6555 Ambrosia Dr Apt 1426, San Diego, CA 92124. The listed phone number is (360) 932-5035.

What is Ashanti Miranda's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ashanti Miranda enrolled in Medicare?

Yes. Ashanti Miranda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ashanti Miranda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashanti Miranda reassigns Medicare benefits to Psychological Behavioral Health Inc (Ventura, CA). The 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 Ashanti 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 Ashanti Miranda was last updated on March 25, 2024. 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.