Individual provider Active NPI

Nathan Lee Miller, PA

  • Surgical Physician Assistant
  • Fresno, CA
National Provider Identifier
1073829487
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA21116 Issued in CA
Practice address
6057 N 1St St
Suite #105
Fresno, CA 93710-5468
Phone
(559) 436-8193
NPI assigned
Aug 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA21116 CA Primary

Addresses

Primary practice location

6057 N 1St St
Suite #105
Fresno, CA 93710-5468

Mailing address

3505 N Indianola Ave
Sanger, CA 93657-9325
Phone (559) 259-6518

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110106000900 CA Practitioner - Physician Assistant 4880883834 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

15 E Audubon Dr
Fresno, CA 93720-1542
Phone (559) 433-8001

1827 E Fir Ave
Suite 101
Fresno, CA 93720-3860
Phone (559) 256-1975

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

2823 Fresno St
Fresno, CA 93721-1324
Phone (559) 459-6000

6789 N Blackstone Ave
Fresno, CA 93710-3530
Phone (559) 512-3377

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.41 of 100Reported as group
Quality
87.02
Promoting interoperability
100
Improvement activities
40
Cost
78.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21116CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince May 1, 2018 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Jul 1, 2024 Accepting new patients
Community Foundation Medical Group CurrentSince May 1, 2018 Accepting new patients

Locations

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

729 N Medical Center Dr W
Ste 101
Clovis, CA 93611
Phone (559) 439-7631

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1073829487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 N INDIANOLA AVE",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "936579325",
            "telephone_number": "559-259-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6057 N 1ST ST",
            "address_2": "SUITE #105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105468",
            "telephone_number": "559-436-8193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NATHAN",
        "middle_name": "LEE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA21116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.