DANIELRUBEN MIRANDA NP
NPI 1619629367
Nurse Practitioner - Psychiatric/Mental Health in Pomona, CA

Q: What is Danielruben Miranda's NPI number?

The NPI number for Danielruben Miranda is 1619629367. It was assigned to this individual provider in the NPPES registry on January 24, 2022.

Q: What is Danielruben Miranda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 24, 2022PECOS Enrolled

831 E ARROW HWY, POMONA, CA 91767(909) 398-4383 Get Directions Write a Review

NPPES record last updated: January 28, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2023, Jun 22, 2023, Jan 24, 2022 (3 updates tracked since 2022).

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About Danielruben Miranda Np NPPES

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

DANIELRUBEN MIRANDA NP (NPI 1619629367) is an individual psychiatric/mental health provider in Pomona, California, licensed in California (95025344) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1619629367

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDANIELRUBEN MIRANDACredential: NP

Location Address831 E ARROW HWYPomona, CA 91767-2535

Mailing Address1201 S Euclid Ave Apt 5Pasadena, CA 91106-4272

Phone(909) 398-4383

Sole ProprietorNo

Enumeration DateJanuary 24, 2022

Last NPPES UpdateJanuary 28, 20243 updates tracked since enumeration

NPPES CertifiedJanuary 28, 2024

✔ NPI 1619629367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95025344

Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License 95228818 (CA)

831 E ARROW HWY, Pomona, CA 91767

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Secondary Practice Location 1

Location 12650 E Foothill BlvdPasadena, CA 91107-3439 · Phone (626) 577-2261

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielruben Miranda Np 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 Danielruben Miranda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthright 360

Same address

Community/Behavioral Health

831 E ARROW HWY
Pomona, CA 91767

Reassigned Medicare billing, California enrollment
76 clinicians in this Medicare group

NPI 1386195196 (909) 398-4383

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 91767 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIZBETH DIAZ ACSW

Social Worker