Active NPI
Cynthia N. Miller, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Fullerton, CA
National Provider Identifier
1275588527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- G61822
- Practice address
- 101 E. Valencia Mesa Drive
Fullerton, CA 92635 - Phone
- (714) 992-3760
- Fax
- (714) 992-3055
- NPI assigned
- May 24, 2006
- 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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | G61822 | CA | Primary |
Addresses
Primary practice location
101 E. Valencia Mesa Drive
Fullerton, CA 92635
Mailing address
PO Box 749421
Los Angeles, CA 90074-9421
Phone (714) 992-3907
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G618220 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61822 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| G61822 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233878400000",
"number": "1275588527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749421",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900749421",
"telephone_number": "714-992-3907",
"fax_number": "714-992-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E. VALENCIA MESA DRIVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "92635",
"telephone_number": "714-992-3760",
"fax_number": "714-992-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CYNTHIA",
"middle_name": "N.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-24",
"last_updated": "2009-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "G61822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G618220",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.