Individual provider Active NPI

Milan John Jugan Jr., D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Virginia Beach, VA
National Provider Identifier
1063491785
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0401417702 Issued in VA
Practice address
2875 Sabre St Ste 260
Virginia Beach, VA 23452-7365
Phone
(757) 499-6886
Fax
(757) 499-3464
NPI assigned
Jan 11, 2006
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 52224 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 0401417702 VA Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS028293L PA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11916 MD

Addresses

Primary practice location

2875 Sabre St Ste 260
Virginia Beach, VA 23452-7365

Mailing address

2875 Sabre St Ste 260
Virginia Beach, VA 23452-7365
Phone (757) 499-6886

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150309000904 CA Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 0840516936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
University of Pittsburgh School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Associates CorporationGroup PAC ID 8022196518, 8 clinicians

Practice addresses (Care Compare)

1150 M Indian Canyon Dr
Palm Springs, CA 92262-4872
Phone (760) 323-6511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11916MDMDOral and Maxillofacial Surgery (Dentist)
DS028293LPAMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Dec 24, 2014 Accepting new patients
Mirage Aesthetic Concepts Surgical Center Past Accepting new patients

Locations

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1063491785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 SABRE ST STE 260",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527365",
            "telephone_number": "757-499-6886",
            "fax_number": "757-499-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 SABRE ST STE 260",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527365",
            "telephone_number": "757-499-6886",
            "fax_number": "757-499-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUGAN",
        "first_name": "MILAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52224",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401417702",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS028293L",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MD",
            "license": "11916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.