Dr. Cynthia Marie Miracle
Internal Medicine (Nephrology)

Address: 8939 Villa La Jolla Dr Ste 110, La Jolla, CA 92037-1732
Phone: 8586578000

Dr. Cynthia Marie Miracle (NPI# 1700976636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700976636
Entity Type Individual
Full Name Dr. Cynthia Marie Miracle
Credential MD
Gender Female
Practice Address 8939 Villa La Jolla Dr Ste 110
La Jolla
CA 92037-1732
Practice Telephone 8586578000
Practice Fax Number 8586578558
Mailing Address Po Box 232410
San Diego
CA 92193-2410
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-10-13
Last Update Date 2017-09-25

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians A82348 CA
Yes 207RN0300X Internal Medicine · Nephrology Allopathic & Osteopathic Physicians A82348 CA

Physician Overview

NPI 1700976636
PAC ID by PECOS 6103844097
Professional Enrollment ID I20051109000623
Full Name Cynthia Marie Miracle
Organization Legal Name REGENTS OF THE UNIVERSITY OF CALIFORNIA - UCSD MEDICAL GROUP
Phone Number 8586577000
Gender F
Credential MD
Medical School NEW YORK MEDICAL COLLEGE
Graduation Year 1999
Primary Specialty NEUROLOGY
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 3577476761
Number of Group Practice Members 1283
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050025 UC SAN DIEGO HEALTH HILLCREST - HILLCREST MED CTR

Office Location

Street Address 8939 VILLA LA JOLLA DR STE 110
City LA JOLLA
State CA
Zip Code 92037-1732

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437387933 Natalie Sweiss Internal Medicine 8939 Villa La Jolla Dr Ste 110, La Jolla, CA 92037-1732 2009-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700357936 Cecelia Rose Greene/pendzich Mastectomy Fitter 7760 Fay Ave, Suite M., La Jolla, CA 92037 2018-12-16
1740765890 Jeenal Ankit Gordhandas Student in an Organized Health Care Education/Training Program East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 2018-09-25
1306325220 Lisa Beth Perlov Marks Marriage & Family Therapist 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 2018-08-10
1023596731 Uc San Diego, Pathology Dept Pathology East Campus Office Building, Medical Center Dr, San Diego, CA 92037 2018-08-03
1982128294 Claire Margaret Morrison Speech-Language Pathologist 8120 Caminito Gianna, La Jolla, CA 92037 2017-07-28
1811424542 Amy Delellis Student in an Organized Health Care Education/Training Program 2469 Darlington Row, La Jolla, CA 92037 2017-05-12
1831625086 Lisa Boinnard Student in an Organized Health Care Education/Training Program 6143 Calle Veracruz, La Jolla, CA 92037 2017-05-10
1639602584 Panid Sharifnia Student in an Organized Health Care Education/Training Program 9355 Discovery Way, Apt C, La Jolla, CA 92037 2017-04-07
1154864874 Center for Neurohealth Inc Psychiatry & Neurology 4180 La Jolla Village Dr Ste 240, La Jolla, CA 92037 2016-11-29
1508312455 Michelle Carter Registered Nurse 1066 N Torrey Pines Rd, La Jolla, CA 92037 2016-08-31
Find all providers in zip 92037

Taxonomy Information

Taxonomy Code 207RN0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Nephrology

Taxonomy Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1265951172 Etienne Maria Vasconcellos D Macedo Internal Medicine 9452 Medical Center Dr # Mc0982, La Jolla, CA 92037-1337 2017-09-12
1457797169 Clyde Houghton Beck, Jr. Jr. Internal Medicine 6412 Cardeno Dr, La Jolla, CA 92037 2013-05-21
1275822082 Karo Torosian Internal Medicine 9834 Genesee Ave Ste 312, La Jolla, CA 92037-1221 2011-04-01
1942476403 Richard Villalobos Internal Medicine 2363 Aveinida De La Playa, La Jolla, CA 92037 2008-05-05
1578519203 Dena E Rifkin Internal Medicine 9500 Gilman Drive Va Medical Center, 9111h, La Jolla, CA 92093-9111 2006-05-25
1437154143 Mark M. Boiskin Internal Medicine 9834 Genesee Ave, Ste 312, La Jolla, CA 92037-1223 2005-06-17
1528542503 Benjamin Digrazia Internal Medicine 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 2018-09-17
1083972483 Yogita Lakhera Internal Medicine 9834 Genesee Ave, Suite 312, La Jolla, CA 92037-1223 2012-04-24
1689719551 Melanie A. Farrell, M.d., A Professional Medical Corporation Internal Medicine 9834 Genesee Ave, Suite 312, La Jolla, CA 92037-1223 2007-02-20
1689733172 James C Rice Internal Medicine 10666 N Torrey Pines Rd, La Jolla, CA 92037-1027 2006-12-08
Find all providers in LA JOLLA

Competitor

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City LA JOLLA
Zip Code 92037

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Dataset Information

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.

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