Active NPI
Jacob Allen Miller, MD
- Psychiatry Physician
- Salinas, CA
National Provider Identifier
1073523239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C36480
- Practice address
- 951 Blanco Cir Ste B
Salinas, CA 93901-4451 - Phone
- (831) 773-6492
- Fax
- (831) 772-8154
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | C36480 | CA | |
| Psychiatry Physician | 2084P0800X | C36480 | CA | Primary |
Addresses
Primary practice location
951 Blanco Cir Ste B
Salinas, CA 93901-4451
Mailing address
585 Lily St
Monterey, CA 93940-1629
Phone (831) 277-3649
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 260050185 | Other | CA | RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36480 | CA | MD | Rehabilitation Chiropractor |
| C36480 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624233600000",
"number": "1073523239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 LILY ST",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401629",
"telephone_number": "831-277-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 BLANCO CIR STE B",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014451",
"telephone_number": "831-773-6492",
"fax_number": "831-772-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JACOB",
"middle_name": "ALLEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "C36480",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C36480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "260050185",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.