1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Internal Medicine
  6. NPI Profile

DR. MIRA CANTRELL MD
NPI 1932147055
Internal Medicine - Geriatric Medicine in Los Angeles, CA

Active since June 02, 2006PECOS Enrolled
11500 NIMITZ AVE, LOS ANGELES, CA 90049(424) 832-8268(424) 832-8270 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mira Cantrell Md NPPES

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

DR. MIRA CANTRELL MD (NPI 1932147055) is an individual geriatric medicine provider in Los Angeles, California, licensed in California (A39040) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932147055
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. MIRA CANTRELLCredential: MD
Location Address11500 NIMITZ AVELos Angeles, CA 90049-3566
Mailing Address11500 Nimitz AveLos Angeles, CA 90049-3566 · (424) 832-8268 · Fax (424) 832-8270
Phone(424) 832-8268
Fax(424) 832-8270
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateOctober 25, 2011
✔ NPI 1932147055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in CA · A39040
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
11500 NIMITZ AVE, Los Angeles, CA 90049
Open in Google Maps ↗

Other Identifiers 1

OtherA39040CA · Licence

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mira Cantrell Md 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 90049 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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 18

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

SUN CHANG
Occupational Therapist
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Los Angeles County (424) 832-8456
KISTYN JOI GRITNEY LCSW
Social Worker (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Los Angeles County (562) 494-3717
PARASTOO SHADMANI RD
Dietitian, Registered
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Los Angeles County (424) 832-8357
ROBERT ELLIOT NESHKES MD
Psychiatry & Neurology (Geriatric Psychiatry)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Los Angeles County (424) 832-8369
DR. JENNIFER C WU PHARM.D.
Pharmacist (Pharmacotherapy)
11500 NIMITZ AVE, ATTN: PHARMACY
LOS ANGELES, CA 90049
Los Angeles County (424) 832-8313
WARREN FREDERICK GOLD MD
Surgery
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Los Angeles County (424) 832-8470
DR. ELHAM EDRISI
Occupational Therapist (Physical Rehabilitation)
11500 NIMITZ AVE, REHAB 3 FLOOR
LOS ANGELES, CA 90049
Los Angeles County (949) 395-5914
MICHAEL FRESE PH.D.
Psychologist (Clinical)
11500 NIMITZ AVE
LOS ANGELES, CA 90049
Los Angeles County (424) 832-8200

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 Mira Cantrell's NPI number?

The NPI number for Mira Cantrell is 1932147055. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Mira Cantrell located?

Mira Cantrell practices at 11500 Nimitz Ave, Los Angeles, CA 90049. The listed phone number is (424) 832-8268.

What is Mira Cantrell's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Mira Cantrell enrolled in Medicare?

Yes. Mira Cantrell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mira Cantrell was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.