Millicent Muthike

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

667537 Issued in CA

Practice address

1850 S Waterman Ave
San Bernardino, CA 92408-2877

Phone

(909) 890-9393

NPI assigned

Jul 3, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Gospha G, Campbell MD Inc

  • Adult Medicine Physician
  • San Bernardino, CA
  • NPI 1215182803
  NPD (past)
• Wilson Izquierdo MD, Inc

  • Urgent Care Clinic/Center
  • San Bernardino, CA
  • NPI 1306106000
  NPD (past)

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435881600000",
    "number": "1083097364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14472 MEADOWBROOK LN",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928803918",
            "telephone_number": "714-262-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S WATERMAN AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082877",
            "telephone_number": "909-890-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTHIKE",
        "first_name": "MILLICENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "667537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Murrillo
• Laura Eiliana Murrin
• Kami Sarah Mushel, B.A.
• Sujata Kishor Mushrif, M.D
• Ethar Mustafa, DDS
• Vijaya Muthyala
• Samantha Mueni Mwendwa
• Michael Eugine Myers, D.D.S.
• Than Myint, MD
• Ginger R Myren

• Family Nurse Practitioner in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2015; 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.