| Ivana Miranda, | |
|
44139 Monterey Ave Ste B, Palm Desert, CA 92260-8700 | |
| (760) 773-4411 | |
| Not Available |
| Full Name | Ivana Miranda |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 7 Years |
| Location | 44139 Monterey Ave Ste B, Palm Desert, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730592023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 772613 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001332 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loma Linda University Medical Center | Loma linda, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sda Services Of Ca | 5496094823 | 38 |
| Coachella Valley Anesthesia A Professional Corporation | 5698131969 | 107 |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Entity Name | Sweet Dreams Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508133497 PECOS PAC ID: 0042477705 Enrollment ID: O20130107000011 |
| Entity Name | Mission Nursing Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932571551 PECOS PAC ID: 9436459278 Enrollment ID: O20151130000657 |
| Entity Name | Lgibson Anesthesia Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417473323 PECOS PAC ID: 3476827288 Enrollment ID: O20170918001886 |
| Entity Name | Sda Services Of Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417428970 PECOS PAC ID: 5496094823 Enrollment ID: O20190302000074 |
| Entity Name | Darin Rentz Do Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689321747 PECOS PAC ID: 7315333853 Enrollment ID: O20220408001009 |
| Entity Name | Coachella Valley Anesthesia A Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013662048 PECOS PAC ID: 5698131969 Enrollment ID: O20230512000330 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivana Miranda, 11737 Manuel Ave, Loma Linda, CA 92354-6757 Ph: (909) 952-7162 | Ivana Miranda, 44139 Monterey Ave Ste B, Palm Desert, CA 92260-8700 Ph: (760) 773-4411 |
Mrs. Kimberly Agupitan Powers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 44139 Monterey Ave Ste B, Palm Desert, CA 92260 Phone: 760-773-4411 |