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

KATELYN KRISTINE MIRANDA
NPI 1609774504
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since October 29, 2026
11234 ANDERSON ST, LOMA LINDA, CA 92350(909) 558-4000 Get Directions Write a Review

NPPES record added: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katelyn Kristine Miranda NPPES

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

KATELYN KRISTINE MIRANDA (NPI 1609774504) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1609774504
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKATELYN KRISTINE MIRANDA
Location Address11234 ANDERSON STLoma Linda, CA 92350-1716
Mailing Address2222 Francisco DrEl Dorado Hills, CA 95762-3762 · (909) 558-1000
Phone(909) 558-4000
Sole ProprietorNo
Enumeration DateOctober 29, 2026
NPPES CertifiedOctober 29, 2026
✔ NPI 1609774504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11234 ANDERSON ST, Loma Linda, CA 92350
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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.

DR. THUCAN TIMOTHY BUI DO
Emergency Medicine
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4344
VAHE YACOUBIAN MD, MPH
Orthopaedic Surgery
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (818) 813-4234
AISHA Q EALEY APRN, ACCCNS-N
Clinical Nurse Specialist (Neonatal)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4248
MR. RANDAL KEITH GILMAN PA
Physician Assistant
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4475
AMR AZZAM MD, PHD
Ophthalmology (Retina Specialist)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-2182
DARSH THAKRAR M.D.
Radiology (Diagnostic Radiology)
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4000
HAITHAM SIAG MBBCH
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (914) 267-6104
PRESTON ANDREW SHIRSAT
Student in an Organized Health Care Education/Training Program
11234 ANDERSON ST
LOMA LINDA, CA 92350
San Bernardino County (909) 558-4074

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 Katelyn Miranda's NPI number?

The NPI number for Katelyn Miranda is 1609774504. It was assigned to this individual provider in the NPPES registry on October 29, 2026.

Where is Katelyn Miranda located?

Katelyn Miranda practices at 11234 Anderson St, Loma Linda, CA 92350. The listed phone number is (909) 558-4000.

What is Katelyn Miranda's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Katelyn Miranda was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.