Active NPI
Nathan Lee Miller, PA
- Surgical Physician Assistant
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA21116
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA21116 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Current | Accepting new patients | |
| Emergency Physicians Urgent Care Inc. | Current | Accepting new patients | |
| Community Foundation Medical Group | Current | 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.
-
dba Accelerated Urgent Care
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
dba Cmi
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1376637264
-
dba Sante' Foundation Medical Group
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
dba Sante' Foundation Medical Group
- Internal Medicine Physician
- Fresno, CA
- NPI 1003329491
-
dba Sante' Foundation Medical Group
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.