Miles V Stanich, MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G24707 Issued in CA

Legal business name

MILES V STANICH, MD INC

Practice address

3795 30TH St Ste a
San Diego, CA 92104-3631

Phone

(619) 260-1958

NPI assigned

Sep 20, 2007

Organization subpart

No

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

Authorized official

Name

Miles V Stanich, M.D.

Title

President

Phone

(619) 733-0360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Egisto Salerno, MD

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1053423764
  NPD (past)

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1205022415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 POINT LOMA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073925",
            "telephone_number": "619-733-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 30TH ST STE A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043631",
            "telephone_number": "619-260-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILES V STANICH, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "STANICH",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-733-0360",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G24707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Marie Milbourn
• David G Milder, DDS.MD
• Edmund Alfred Milder, M.D.
• Megan Jenning Milder, DMD
• Melissa Milder
• Michelle Miles-Kessell
• Akaylin Miles
• Ashley Miles
• Daniel E Miles, PA-C
• Hannah Ruth Miles

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.