MS. MIRANDA E. SURJADI (NPI# 1548384365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548384365 |
| Entity Type | Individual |
| Full Name | MS. MIRANDA E. SURJADI |
| Credential | NP MS |
| Practice Address |
1001 Potrero Ave # 3d7 Sfgh Gastroenterology San Francisco CA 94110-3518 |
| Practice Telephone | 4152064776 |
| Practice Fax Number | 4152065199 |
| Mailing Telephone | 4152064776 |
| Mailing Fax Number | 4152065199 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WG0100X |
Registered Nurse Specialization: Gastroenterology |
RN546712 | CA | Nursing Service Providers |
| X | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
NPF11790 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER | 117390 | 01 |
| Street Address |
1001 POTRERO AVE # 3D7 SFGH GASTROENTEROLOGY |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94110-3518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302980 | Deena Marlo Abramson | Doula | 1360 Vermont Street, San Francisco, CA 94110 | 2020-09-23 |
| 1740835131 | Jacob Matz | Orthopaedic Surgery | Orthopaedic Trauma Institute, 2550 23rd St Building 9, 2nd Floor, San Francisco, CA 94110 | 2019-08-03 |
| 1427523083 | John Pier Shaw | Counselor | 1550 Treat Street, San Francisco, CA 94110 | 2018-10-10 |
| 1548743594 | Ana Li | Registered Nurse | 2460 22nd Street, Building 90, Fourth Floor, Ward 94, San Francisco, CA 94110 | 2018-09-14 |
| 1295220283 | Sarah Jane Blevins | Technician, Other | 1061 Valencia Street, Apt A, San Francisco, CA 94110 | 2018-06-22 |
| 1639688823 | Rashid Belkheiri | Community Health Worker | 1001 Potrero Ave Bldg 5 #7m36, San Francisco, CA 94110 | 2017-09-20 |
| 1780107425 | Allison Kimberley Tucker | Orthopaedic Surgery | 2550 23rd St., Bldg. 9, 2nd Floor, Orthopedic Trauma Institute, San Francisco, CA 94110 | 2017-07-25 |
| 1003339300 | April May Moyer | Student in an Organized Health Care Education/Training Program | 1001 Potrero Street 6b, San Francisco, CA 94110 | 2017-07-19 |
| 1154851798 | Anthony Jermaine Hatten | Specialist | 1001 Potrero Ave Rm Ward93, San Francisco, CA 94110 | 2017-06-15 |
| 1770012981 | Cardiogram, Inc. | Physiological Laboratory | 375 Alabama St Ste 350, San Francisco, CA 94110 | 2017-06-09 |
| Find all providers in zip 94110 | ||||
| Taxonomy Code | 163WG0100X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Gastroenterology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578196283 | Kristina Chau | Registered Nurse | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536802 | Nina Lynette Jones | Registered Nurse | 10535 Hospital Way Bldg 645, Mather, CA 95655-4200 | 2020-07-28 |
| 1740749647 | Maritess Razo | Registered Nurse | 2804 Shellgate Ct, Hayward, CA 94545-1187 | 2019-03-19 |
| 1013327063 | Maria Michele Shimizu | Registered Nurse | 4787 Danbury Cir, El Dorado Hills, CA 95762-6952 | 2014-04-29 |
| 1669524203 | Priscilla Arlene Barlett | Registered Nurse | 9017 Libra Dr, San Diego, CA 92126-4707 | 2007-01-16 |
| 1033727953 | Kenneth Robert Beamer | Registered Nurse | 351 Hartnell Ave, Redding, CA 96002-1845 | 2020-07-16 |
| 1619509809 | Omorogbe Norense Igbineweka | Registered Nurse | 1411 E 31st St, Oakland, CA 94602-1018 | 2020-02-06 |
| 1093356768 | Rebekah Shaffer | Registered Nurse | 3801 Miranda Ave, Palo Alto, CA 94304-1207 | 2019-10-03 |
| 1326557281 | Julie Kim | Registered Nurse | 3460 E La Palma Ave, Anaheim, CA 92806-2020 | 2017-09-22 |
| 1205353737 | Jungyee Heo Park | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| 1255858700 | Susan Tang | Registered Nurse | 1983 Marengo St, Los Angeles, CA 90033-1370 | 2017-08-25 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94110 |
Please comment or provide details below to improve the information on MS. MIRANDA E. SURJADI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.