Active NPI
Nancy Miller, M.D.
- Nephrology Physician
- San Diego, CA
National Provider Identifier
1104972520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- M-9835
- Practice address
- 34800 Bob Wilson Dr
Naval Medical Ctr
San Diego, CA 92134-5000 - Phone
- (619) 532-8840
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | M-9835 | ID | Primary |
Addresses
Primary practice location
34800 Bob Wilson Dr
Naval Medical Ctr
San Diego, CA 92134-5000
Mailing address
34800 Bob Wilson Dr
Naval Medical Ctr
San Diego, CA 92134-5000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140610000828 | CA | Order and Referring Only - Nephrology | 6709000938 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-9835 | ID | MD | Nephrology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1104972520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "NAVAL MEDICAL CTR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921345000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34800 BOB WILSON DR",
"address_2": "NAVAL MEDICAL CTR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921345000",
"telephone_number": "619-532-8840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "NANCY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "ID",
"license": "M-9835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.