Individual provider Active NPI

Anthony Milliron, MD

  • Family Medicine Physician
  • Fallbrook, CA
National Provider Identifier
1265011084
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201198 Issued in CA
Practice address
1328 S Mission Rd
Fallbrook, CA 92028-4006
Phone
(760) 451-4720
NPI assigned
Apr 7, 2021
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 201198 CA Primary

Addresses

Primary practice location

1328 S Mission Rd
Fallbrook, CA 92028-4006

Mailing address

1328 S Mission Rd
Fallbrook, CA 92028-4006
Phone (760) 451-4720

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250314002376 CA Practitioner - Family Practice 9436550241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Systems IncGroup PAC ID 7012824717, 13 clinicians

Practice addresses (Care Compare)

1328 S Mission Rd
Fallbrook, CA 92028-4006
Phone (760) 451-4720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201198CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Mar 7, 2025 Accepting new patients
Indiana University Health Ball Memorial Hospital, Inc. Past Accepting new patients

Locations

18601 Valley Blvd
Bloomington, CA 92316
Phone (909) 546-7520

21801 Alessandro Blvd
Moreno Valley, CA 92553
Phone (951) 571-2300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: anthony.milliron.p1@direct.chsica.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1265011084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 S MISSION RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284006",
            "telephone_number": "760-451-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 S MISSION RD",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284006",
            "telephone_number": "760-451-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIRON",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "201198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.