Individual provider Active NPI

Lawrence Stuart Miller, M.D.

  • Rehabilitation Practitioner
  • Beverly Hills, CA
National Provider Identifier
1073690798
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
G28978 Issued in CA
Practice address
450 N Bedford Dr
Suite 205
Beverly Hills, CA 90210-4324
Phone
(310) 319-2619
Fax
(310) 319-2619
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X G28978 CA Primary

Addresses

Primary practice location

450 N Bedford Dr
Suite 205
Beverly Hills, CA 90210-4324

Mailing address

145 S Burlingame Ave
Los Angeles, CA 90049-2641
Phone (310) 319-2619

Other identifiers 1

IdentifierTypeStateIssuer
G28978OtherCALICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1073690798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S BURLINGAME AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492641",
            "telephone_number": "310-319-2619",
            "fax_number": "310-319-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR",
            "address_2": "SUITE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-319-2619",
            "fax_number": "310-319-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "LAWRENCE",
        "middle_name": "STUART",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "G28978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G28978",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.