JERMYN DOUGLAS MIRANDA
NPI 1689032419
Rehabilitation Practitioner in Mountain View, CA

Q: What is Jermyn Miranda's NPI number?

The NPI number for Jermyn Miranda is 1689032419. It was assigned to this individual provider in the NPPES registry on February 8, 2016. The provider is also known as Jermyndouglas Miranda.

Q: What is Jermyn Miranda's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Jermyn Miranda was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since February 08, 2016

1503 GRANT RD STE 110, MOUNTAIN VIEW, CA 94040(650) 484-1213(408) 642-6052 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, Aug 18, 2023, Feb 8, 2016 (3 updates tracked since 2016).

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About Jermyn Douglas Miranda NPPES

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

JERMYN DOUGLAS MIRANDA (NPI 1689032419) is an individual rehabilitation practitioner in Mountain View, California and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1689032419

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameJERMYN DOUGLAS MIRANDA

Location Address1503 GRANT RD STE 110Mountain View, CA 94040-3270

Mailing Address1503 Grant Rd Ste 110Mountain View, CA 94040-3270 · (408) 261-7777 · Fax (408) 642-6052

Phone(650) 484-1213

Fax(408) 642-6052

Sole ProprietorYes

Enumeration DateFebruary 8, 2016

Last NPPES UpdateJune 2, 20253 updates tracked since enumeration

NPPES CertifiedJune 2, 2025

✔ NPI 1689032419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedCommunity Health WorkerTaxonomy 172V00000X

1503 GRANT RD STE 110, Mountain View, CA 94040

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Other Names 1

Other Name (5)Jermyndouglas Miranda

Other Providers at the Same Location NPPES 15

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

ROBERT THOMPSON MA

Marriage & Family Therapist