Conrad J R Miranda IV, M.D.
NPI 1073554168ActiveIndividual· General Practice· Northridge, CA
Listed on the HHS-OIG exclusion list since October 2009 (1128a1). General Practice (M.D.) in Northridge, California, licensed in CA, with an NPI issued in June 2006.
Overview
| NPI | 1073554168 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 9, 2006 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | C51139 | CA |
Exclusion screening
This NPI appears on the OIG exclusion list. Excluded parties cannot be paid by Medicare, Medicaid or other federal health care programs, directly or through an employer.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| NPI | Conrado Jonathan Resus Miranda · General Practice | 1128a1 | Oct 20, 2009 | Glendale, CA |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Listed (NPI) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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