OSCAR OMAR CARRILLO MIRANDA
NPI 1639096837
Counselor - Addiction (Substance Use Disorder) in Mammoth Lakes, CA

Active since June 30, 2026
1290 TAVERN RD, MAMMOTH LAKES, CA 93546(760) 924-1740 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Oscar Omar Carrillo Miranda NPPES

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

OSCAR OMAR CARRILLO MIRANDA (NPI 1639096837) is an individual addiction (substance use disorder) provider in Mammoth Lakes, California and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1639096837
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameOSCAR OMAR CARRILLO MIRANDA
Location Address1290 TAVERN RDMammoth Lakes, CA 93546-6601
Mailing Address1290 Tavern RdMammoth Lakes, CA 93546-6601 · (760) 924-1740
Sole ProprietorYes
Enumeration DateJune 30, 2026
NPPES CertifiedJune 30, 2026
NPI 1639096837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1290 TAVERN RD, Mammoth Lakes, CA 93546

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.

Counselor
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Adult Companion
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Counselor (Addiction (Substance Use Disorder))
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Case Manager/Care Coordinator
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Marriage & Family Therapist
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Community Health Worker
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Adult Companion
1290 TAVERN RD
MAMMOTH LAKES, CA 93546
Social Worker (Clinical)
1290 TAVERN RD
MAMMOTH LAKES, CA 93546

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 Oscar Carrillo Miranda's NPI number?

The NPI number for Oscar Carrillo Miranda is 1639096837. It was assigned to this individual provider in the NPPES registry on June 30, 2026.

Where is Oscar Carrillo Miranda located?

Oscar Carrillo Miranda practices at 1290 Tavern Rd, Mammoth Lakes, CA 93546. The listed phone number is (760) 924-1740.

What is Oscar Carrillo Miranda's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Oscar Carrillo Miranda was last updated on June 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.