Great Spirit Medical Group,inc
NPI 1407869928ActiveOrganization· Family Medicine· Northridge, CA
Family Medicine in Northridge, California, registered in NPPES in August 2006. The authorized official on file is Conrado J.R Miranda, MD, Medical Director.
Overview
| NPI | 1407869928 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2006 |
| Last updated in NPPES | Nov 12, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | A48817 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
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