Individual provider Active NPI

Peter VW Miao, M.D.

  • Infectious Disease Physician
  • Sherman Oaks, CA
National Provider Identifier
1164465886
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G28541 Issued in CA
Practice address
5000 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1793
Phone
(818) 784-5300
Fax
(818) 784-5301
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G28541 CA Primary

Addresses

Primary practice location

5000 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1793

Mailing address

5000 Van Nuys Blvd
Suite 200
Sherman Oaks, CA 91403-1793
Phone (818) 784-5300

Other identifiers 1

IdentifierTypeStateIssuer
00G285410MedicaidCA

Other names 1

  • Dr. Peter Miao MD Inc Other name

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1164465886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031793",
            "telephone_number": "818-784-5300",
            "fax_number": "818-784-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 VAN NUYS BLVD",
            "address_2": "SUITE 200",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031793",
            "telephone_number": "818-784-5300",
            "fax_number": "818-784-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIAO",
        "first_name": "PETER",
        "middle_name": "VW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G28541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G285410",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "MIAO MD INC",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.