Robert Mitchell Miller, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

G25487 Issued in CA

Practice address

3325 Palo Verde Ave #107
Long Beach, CA 90808-4132

Phone

(562) 420-8333

Fax

(562) 420-8433

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Integrated Dermatology and Dermatopathology, Inc.

  • Procedural Dermatology Physician
  • Newport Beach, CA
  • NPI 1013136357
  Medicare reassignment NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053463760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE #107",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-420-8333",
            "fax_number": "562-420-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 PALO VERDE AVE #107",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084132",
            "telephone_number": "562-420-8333",
            "fax_number": "562-420-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "MITCHELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G25487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Miller, LMFT
• Mikita Migail Miller, RN
• Miloslava Miller, PTA
• Rhonda Miller, D.C
• Richard E Miller
• Ru Ajanee Dennise Miller
• Russell D. Miller, M.D.
• Sandra Lynn Miller, PA-C
• Sarah Miller
• Shain Miller, PSYD

• Dermatology Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.