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RAFAEL MIRANDA PA
NPI 1609924521
Physician Assistant in San Diego, CA

Active since January 08, 2007PECOS Enrolled
4405 VANDEVER AVE, SAN DIEGO, CA 92120(619) 528-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rafael Miranda Pa NPPES

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

RAFAEL MIRANDA PA (NPI 1609924521) is an individual physician assistant in San Diego, California, licensed in California (PA14588) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609924521
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRAFAEL MIRANDACredential: PA
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address393 E Walnut St, 3rd Floor Phr SystemsPasadena, CA 91188-0001 · (626) 405-3640 · Fax (626) 405-6768
Phone(619) 528-5000
Sole ProprietorNo
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609924521 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA14588
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4405 VANDEVER AVE, San Diego, CA 92120
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Other Identifiers 1

Medicare UPINP32036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.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)

Rafael Miranda Pa 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 92120 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
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.

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.

MADELINE C SERAFINE CNM
Advanced Practice Midwife
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
MICHAEL L. BONIN MD
Pathology (Blood Banking & Transfusion Medicine)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
HEIDEMARIE DREGER CRNA
Nurse Anesthetist, Certified Registered
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
GILBERT B. GREEN MD
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
THOMAS LOHNER MD
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
DR. PHILIP HYUNWOO KIM M.D.
Urology
4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120
San Diego County (619) 528-5000
JOANNE HAY-LING WONG M.D.
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (833) 574-2273
JAMES MICHAEL KELLY MD
Family Medicine
4405 VANDEVER AVE
SAN DIEGO, CA 92120
San Diego County (619) 528-5000

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 Rafael Miranda's NPI number?

The NPI number for Rafael Miranda is 1609924521. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Rafael Miranda located?

Rafael Miranda practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (619) 528-5000.

What is Rafael Miranda's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rafael Miranda enrolled in Medicare?

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

What insurance does Rafael Miranda accept?

Health plans from University of Utah Health Plans list Rafael Miranda 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 Rafael Miranda was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.