Individual provider Active NPI

Jennifer A Miller, MD

  • Pediatrics Physician
  • Berkeley, CA
National Provider Identifier
1104854355
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A76774 Issued in CA
Practice address
2999 Regent St Ste 325
Berkeley, CA 94705-2118
Phone
(925) 438-1110
Fax
(510) 841-5650
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A76774 CA Primary

Addresses

Primary practice location

2999 Regent St Ste 325
Berkeley, CA 94705-2118

Mailing address

2999 Regent St Ste 325
Berkeley, CA 94705-2118
Phone (925) 438-1110

Other practice location 1

96 Davis Rd Ste 2
Orinda, CA 94563-3028
Phone (925) 254-1054

Other identifiers 1

IdentifierTypeStateIssuer
GR0077490MedicaidCA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241105000729 CA Practitioner - Pediatric Medicine 2365975950 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A76774CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Oct 24, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 24, 2024 Accepting new patients
University of California San Francisco Pediatrics Current Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince Oct 24, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Oct 24, 2024 Accepting new patients
UCSF Health Medical Foundation CurrentSince Jan 6, 2026 Accepting new patients
University of California San Francisco CurrentSince Oct 24, 2024 Accepting new patients
East Bay Pediatrics Medical Group Pediatrics Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Children'S Hospital & Research Center at Oakland Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients

Locations

3000 Colby St
Ste 301
Berkeley, CA 94705
Phone (510) 540-6800

2999 Regent St
Ste 325
Berkeley, CA 94705
Phone (925) 254-9203

225 California Dr
Burlingame, CA 94010
Phone (415) 353-2002

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

747 52nd St
Ste St
Oakland, CA 94609

96 Davis Rd
Ste 2
Orinda, CA 94563
Phone (925) 254-1054

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

3490 California St
Ste 200
San Francisco, CA 94118
Phone (415) 345-0940

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

Interoperability endpoints

  • Direct secure messaging: jmiller160357@hisp.ehr.sutterhealth.org
  • Direct secure messaging: jmiller133443@alamedahs.direct-ci.com

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1104854355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 325",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052118",
            "telephone_number": "925-438-1110",
            "fax_number": "510-841-5650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2999 REGENT ST STE 325",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052118",
            "telephone_number": "925-438-1110",
            "fax_number": "510-841-5650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "96 Davis Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Orinda",
            "state": "CA",
            "postal_code": "945633028",
            "country_code": "US",
            "telephone_number": "925-254-1054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A76774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0077490",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.