Individual provider Active NPI

Emily Miller, M.D.

  • Family Medicine Physician
  • Santa Monica, CA
National Provider Identifier
1194137737
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A148158 Issued in CA
Practice address
1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone
(310) 319-4700
Fax
(310) 453-5106
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X A148158 CA
Family Medicine Physician 207Q00000X A148158 CA Primary

Addresses

Primary practice location

1920 Colorado Ave
Santa Monica, CA 90404-3414

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

100 Ucla Medical Plz Ste 755
Los Angeles, CA 90024-6990
Phone (310) 206-2386

Other practice location 2

1250 16th St Ste 2100
Santa Monica, CA 90404-1249
Phone (310) 319-1234

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
I20180702002859 CA Practitioner - Family PracticePractitioner - Sports Medicine 9133443435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 2062312291, 71 clinicians
UC RegentsGroup PAC ID 9739083866, 36 clinicians

Practice addresses (Care Compare)

100 Medical Plaza
Suite 755
Los Angeles, CA 90095-6990
Phone (310) 206-2386

1920 Colorado Ave
Santa Monica, CA 90404-3414
Phone (310) 319-4700

Hospital & facility affiliations

  • St Luke Home Health Care, Inc Home health agency, Glendale, CA, CCN 059339
  • Santa Monica - UCLA Med Ctr & Orthopaedic Hospital Hospital, Santa Monica, CA, CCN 050112
  • Ronald Reagan UCLA Medical Center Hospital, Los Angeles, CA, CCN 050262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A148158CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Hospital CurrentSince Nov 6, 2019 Accepting new patients
Orthopaedic Hospital Medical Group Inc CurrentSince Nov 6, 2019 Accepting new patients
Regents of the University of California CurrentSince Aug 6, 2018 Accepting new patients
Regents of the University of California Sports Medicine CurrentSince Aug 6, 2018 Accepting new patients
UC Regents Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Regents Univ of Calif Los Angeles Past Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients
UCLA Family Practice Family Medicine Past Accepting new patients
The Regents of the University of California Past Accepting new patients

Locations

403 W Adams Blvd
Fl Third
Los Angeles, CA 90007

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 54206
Los Angeles, CA 90074

100 UCLA Medical Plz
Ste 755
Los Angeles, CA 90024
Phone (310) 206-2386

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

403 W Adams Blvd
Los Angeles, CA 90007
Phone (213) 741-8330

100 Medical Plz
Ste 755
Los Angeles, CA 90095
Phone (310) 206-2386

100 UCLA Medical Plz
Ste 170
Los Angeles, CA 90024
Phone (858) 534-3880

101341 File
Pasadena, CA 91189

1920 Colorado Ave
Santa Monica, CA 90404
Phone (310) 319-4700

1250 16th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6593

1225 15th St
Ste 2100
Santa Monica, CA 90404
Phone (424) 259-6560

1250 16th St
Santa Monica, CA 90404
Phone (310) 301-8695

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 9

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575417600000",
    "number": "1194137737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COLORADO AVE",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904043414",
            "telephone_number": "310-319-4700",
            "fax_number": "310-453-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Ucla Medical Plz Ste 755",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900246990",
            "country_code": "US",
            "telephone_number": "310-206-2386",
            "fax_number": "310-825-3285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 16th St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904041249",
            "country_code": "US",
            "telephone_number": "310-319-1234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "EMILY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2019-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A148158",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A148158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.