Mill Valley Pediatric Associates

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G58482 Issued in CA

Legal business name

MILL VALLEY PEDIATRIC ASSOCIATES

Practice address

1206 Strawberry VLG
Mill Valley, CA 94941-2372

Phone

(415) 388-3364

Fax

(415) 388-3385

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael I Harris, M.D.

Title

Sr Partner

Phone

(415) 388-3364

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne C Christie, M.D.

  • Pediatrics Physician
  • Mill Valley, CA
  • NPI 1629002985
  NPD (past)
• Melissa M Congdon, M.D.

  • Pediatrics Physician
  • Mill Valley, CA
  • NPI 1548299290
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124057880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 STRAWBERRY VLG",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412372",
            "telephone_number": "415-388-3364",
            "fax_number": "415-388-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 STRAWBERRY VLG",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412372",
            "telephone_number": "415-388-3364",
            "fax_number": "415-388-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL VALLEY PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "SR PARTNER",
        "authorized_official_telephone_number": "415-388-3364",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G58482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Benjamin Meyers, DPM
• Cynthia Brooks Michalis, M.F.T.
• Mill Valley Dermatology, Inc
• Mill Valley Family Chiropractic
• Mill Valley Family Practice
• Mill Valley Physical Therapy Partnership
• Mill Valley School District
• Zeljko Milovanovic, M.D.
• Natalie Alyssa Milton, DR
• Leslie Y Miya, MD

• Pediatrics Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.