Organization Active NPI

Scott R Miller MD Facs Apc

  • Plastic Surgery Physician
  • La Jolla,, CA
National Provider Identifier
1023258787
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G76289 Issued in CA
Legal business name
SCOTT R MILLER MD FACS APC
Practice address
9834 Genesee Ave
Suite 210
La Jolla,, CA 92037
Phone
(858) 453-3133
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Scott Randall Miller, M.D.
Title
President
Phone
(858) 453-3133

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X G76289 CA Primary

Addresses

Primary practice location

9834 Genesee Ave
Suite 210
La Jolla,, CA 92037

Mailing address

9834 Genesee Ave
Suite 210
La Jolla,, CA 92037
Phone (858) 453-3133

National Provider Directory

National Provider Directory

Locations

9834 Genesee Ave
Ste 210
La Jolla, CA 92037
Phone (858) 453-3133

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1023258787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 210",
            "city": "LA JOLLA,",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-453-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE",
            "address_2": "SUITE 210",
            "city": "LA JOLLA,",
            "state": "CA",
            "postal_code": "92037",
            "telephone_number": "858-453-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT R MILLER MD FACS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-453-3133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G76289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla,, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.