Active NPI
Patrick Miles, M.D.
- Public Health & General Preventive Medicine Physician
- Los Gatos, CA
National Provider Identifier
1164575544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- MD2010-0165
- Practice address
- 20 S Santa Cruz Ave Ste 300
Los Gatos, CA 95030-6827 - Phone
- (408) 890-6648
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H3332 | TX | |
| Aerospace Medicine Physician | 2083A0100X | H3332 | TX | |
| Aerospace Medicine Physician | 2083A0100X | MD2010-0165 | NM | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | H3332 | TX | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | MD2010-0165 | NM | Primary |
Addresses
Primary practice location
20 S Santa Cruz Ave Ste 300
Los Gatos, CA 95030-6827
Mailing address
20 S Santa Cruz Ave Ste 300
Los Gatos, CA 95030-6827
Phone (408) 890-6648
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2010-0165 | NM | MD | Public Health & General Preventive Medicine Physician |
| H3332 | TX | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637107200000",
"number": "1164575544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 S SANTA CRUZ AVE STE 300",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950306827",
"telephone_number": "408-890-6648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S SANTA CRUZ AVE STE 300",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950306827",
"telephone_number": "408-890-6648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILES",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H3332",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "TX",
"license": "H3332",
"primary": false
},
{
"code": "2083A0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Aerospace Medicine",
"state": "NM",
"license": "MD2010-0165",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "TX",
"license": "H3332",
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "NM",
"license": "MD2010-0165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.