Active NPI
John G Miller MD
- General Practice Physician
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A24265
- Legal business name
- JOHN G MILLER MD
- Practice address
- 355 Placentia Ave. Suite 103
Newport Beach, CA 92663 - Phone
- (949) 645-6412
- Fax
- (949) 645-8442
- NPI assigned
- Aug 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Gordon Miller, MD
- Title
- Owner
- Phone
- (949) 645-6412
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | A24265 | CA | Primary |
Addresses
Primary practice location
355 Placentia Ave. Suite 103
Newport Beach, CA 92663
Mailing address
355 Placentia Ave. Suite 103
Newport Beach, CA 92663
Phone (949) 645-6412
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0578554 | John G Miller MD | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
355 Placentia Ave
Ste 103
Newport Beach, CA 92663
Phone (714) 645-6412
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Newport Beach, CA
- NPI 1093726721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195430400000",
"number": "1215948948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 PLACENTIA AVE. SUITE 103",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-645-6412",
"fax_number": "949-645-8442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 PLACENTIA AVE. SUITE 103",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "92663",
"telephone_number": "949-645-6412",
"fax_number": "949-645-8442"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN G MILLER MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-10",
"last_updated": "2007-11-19",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "GORDON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-645-6412",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A24265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.