Individual provider Active NPI

Angelica Janae Miller

  • Midwife
  • Long Beach, CA
National Provider Identifier
1093357949
Registry record updated Mar 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
607 Issued in CA
Practice address
421 W Broadway Apt 2148
Long Beach, CA 90802-9419
Phone
(530) 237-7755
NPI assigned
Oct 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Doula 374J00000X
Midwife 176B00000X 607 CA Primary

Addresses

Primary practice location

421 W Broadway Apt 2148
Long Beach, CA 90802-9419

Mailing address

421 W Broadway Apt 2148
Long Beach, CA 90802-9419
Phone (530) 237-7755

Other practice location 1

16305 Los Coyotes St
Fontana, CA 92336-5661
Phone (530) 237-7755

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585526400000",
    "number": "1093357949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W BROADWAY APT 2148",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908029419",
            "telephone_number": "530-237-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W BROADWAY APT 2148",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908029419",
            "telephone_number": "530-237-7755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16305 Los Coyotes St",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "923365661",
            "country_code": "US",
            "telephone_number": "530-237-7755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELICA",
        "middle_name": "JANAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-11",
        "last_updated": "2020-03-30",
        "certification_date": "2020-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CA",
            "license": "607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2020; 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.