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Conrad Miranda, M.D
NPI 1073554168 · on the registry since 2006
Federal exclusion record
The HHS Office of Inspector General publishes a list of individuals and entities excluded from Medicare, Medicaid and other federal health programs. A record on that list carries this NPI.
- Reason
- Conviction of program-related crimes
- Authority
- Section 1128a1 · mandatory · 5 years minimum
- Excluded
- 2009-10-20
- Recorded as
- General Practice
Matched on NPI alone. OIG asks that any match be confirmed by Social Security or Employer Identification Number, neither of which appears in the public file, so treat this as something to verify rather than something established. Verify at OIG. Our copy of the list is from 2026-09-15. Reinstated parties are removed from each new release, so a person cleared since then may still appear here.
Practice
- Address
- 9900 Balboa Blvd
Suite A
Northridge, CA 91325 - Phone
- (818) 701-0017
- Fax
- (818) 701-0073
- Organisation at this address
- Great Spirit Medical Group,Inc
Balboa Medical & Wellness Center,Inc.
Valley Integrated Health Care Service
Northridge Physical Therapy Center,IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- General Practice Physician
208D00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California