MIRANDA LEIGHA MARTINEZ-MOAD DO
NPI 1699479089
Student in an Organized Health Care Education/Training Program in Fontana, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 29, 2023PECOS Enrolled

17234 VALLEY BLVD., FONTANA, CA 92335(909) 427-5084 Get Directions Write a Review

NPPES record last updated: September 29, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Miranda Leigha Martinez-moad Do NPPES

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

MIRANDA LEIGHA MARTINEZ-MOAD DO (NPI 1699479089) is an individual student in an organized health care education/training program in Fontana, California and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699479089

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMIRANDA LEIGHA MARTINEZ-MOADCredential: DO

Location Address17234 VALLEY BLVD.Fontana, CA 92335

Mailing Address17234 Valley Blvd.Fontana, CA 92335

Phone(909) 427-5084

Sole ProprietorNo

Enumeration DateMarch 29, 2023

Last NPPES UpdateSeptember 29, 2023

NPPES CertifiedMarch 24, 2023

✔ NPI 1699479089 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.

17234 VALLEY BLVD., Fontana, CA 92335

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miranda Leigha Martinez-moad Do 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.