Individual provider Active NPI

Robert Martin Miller, M.D

  • Procedural Dermatology Physician
  • West Hills, CA
National Provider Identifier
1194708289
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Procedural Dermatology PhysicianTaxonomy code 207NS0135X
License
A20197 Issued in CA
Practice address
7345 Medical Center Drive
Suite 160
West Hills, CA 91307-1952
Phone
(818) 884-8044
Fax
(818) 884-8196
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X A20197 CA
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X A20197 CA
Pediatric Dermatology Physician 207NP0225X 20197 CA
Procedural Dermatology Physician 207NS0135X A20197 CA Primary

Addresses

Primary practice location

7345 Medical Center Drive
Suite 160
West Hills, CA 91307-1952

Mailing address

7345 Medical Center Drive
Suite 160
West Hills, CA 91307-1952
Phone (818) 884-8044

Other identifiers 2

IdentifierTypeStateIssuer
05D0557210OtherCACLIA
00A201970OtherCAMEDICAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A20197CAMDDermatopathology Physician
20197CAMDPediatric Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Group Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1194708289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 160",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071952",
            "telephone_number": "818-884-8044",
            "fax_number": "818-884-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 160",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071952",
            "telephone_number": "818-884-8044",
            "fax_number": "818-884-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "CA",
            "license": "A20197",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CA",
            "license": "A20197",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "20197",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A20197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "05D0557210",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A201970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

Verify at the official NPI Registry.