Jennifer Miles, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G83526 Issued in CA

Practice address

2351 Olivera Rd
Concord, CA 94520-1626

Phone

(925) 603-1961

NPI assigned

Sep 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Contra Costa County

  • Adult Mental Health Clinic/Center
  • San Pablo, CA
  • NPI 1376620336
  Medicare reassignment
• Bay Psychiatric Associates

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1427163229
  NPD (past)
• Seneca Center

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1699972281
  NPD (past)
• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1174801690
  NPD (past)
• Rocketship Education Wisconsin Inc.

  • Local Education Agency (LEA)
  • Milwaukee, WI
  • NPI 1275964025
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1215032347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 JOAQUIN MILLER RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022658",
            "telephone_number": "510-406-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 OLIVERA RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201626",
            "telephone_number": "925-603-1961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1034 Oak Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "945183225",
            "country_code": "US",
            "telephone_number": "925-603-1919",
            "fax_number": "925-685-6560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G83526",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G83526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanato Miki
• Angelica Milar
• Sandra Milard
• Thomas Beckham Milburn
• Haven Miles
• Shannon Amber Miles
• Taylor Miles
• Terrance Miles
• Annmarie Lynn Miley
• Lauren Nicole Militello

• Psychiatry Physician in Concord, CA
• Providers in Concord, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.