Active NPI
Miracle Leeann Howard-Tilmon
- Student in an Organized Health Care Education/Training Program
- Gardena, CA
National Provider Identifier
1225947799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 13931 Van Ness Ave
Gardena, CA 90249-2941 - Phone
- (310) 768-8018
- NPI assigned
- Sep 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
13931 Van Ness Ave
Gardena, CA 90249-2941
Mailing address
2008 W 70TH St
Los Angeles, CA 90047-1731
Phone (747) 251-8253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788307200000",
"number": "1225947799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2008 W 70TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900471731",
"telephone_number": "747-251-8253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13931 VAN NESS AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902492941",
"telephone_number": "310-768-8018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD-TILMON",
"first_name": "MIRACLE",
"middle_name": "LEEANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.