Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Lisa M Miranda, PA-C

Individual provider Medical Physician Assistant · NPI 1144314766

Mrs. Lisa M Miranda, PA-C is a Physician Assistant in Roseville, California. Qualified in 2000, 26 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in California and Tennessee.

Years since qualifying
26
Licensed in
CA, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

568 N Sunrise Ave Ste 250
Roseville, CA 95661
Phone: (916) 865-1140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2121 North Ocoee Street, Cleveland, TN 37311 — (423) 472-6548
  • 2121 North Ocoee Street, Cleveland, TN 37311 — (423) 472-6548

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15570 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1051 (TN)

Record details

NPI number1144314766
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESMarch 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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