Phillip Mark Milgram, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

A35411 Issued in CA

Practice address

3262 Holiday CT Ste 210
La Jolla, CA 92037-1811

Phone

(760) 944-9200

Fax

(760) 692-4411

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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

Specialty

Obstetrics/GynecologyAlso: Addiction Medicine, General Practice, Preventive Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brilliant Start WellnessGroup PAC ID 6608293279, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pmilgram43636@scrippshlth.medalliesdirect.net

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.

• Brilliant Start Wellness

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Poway, CA
  • NPI 1043859077

  CA

  Medicare reassignment Care Compare group NPD
• Zen Fusion, Inc.

  • Public Health & General Preventive Medicine Physician
  • Encinitas, CA
  • NPI 1396638334

  CA, Public Health & General Preventive Medicine

  Medicare reassignment NPD Authorized official
• Agereversalmd.Com a Professional Corporation

  • Public Health or Welfare Agency
  • La Jolla, CA
  • NPI 1194450023
  NPD Authorized official
• Nad MD Inc.

  • Adult Medicine Physician
  • La Jolla, CA
  • NPI 1750902326
  NPD Authorized official
• Integrative Medicine Associates, PC

  • Gynecology Physician
  • San Diego, CA
  • NPI 1750434403
  NPD (past) Authorized official
• Martin C Fineman MD Med Corp

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1689979114
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Community Behavioral Health Solutions, Inc

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1841699352
  NPD (past)
• Jerry Rand Apmc

  • Infusion Therapy Clinic/Center
  • San Diego, CA
  • NPI 1427140367
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685232000000",
    "number": "1285737569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N EL CAMINO REAL SPC 123",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241317",
            "telephone_number": "760-944-9200",
            "fax_number": "760-692-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 HOLIDAY CT STE 210",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371811",
            "telephone_number": "760-944-9200",
            "fax_number": "760-692-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6725 Mesa Ridge Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921212925",
            "country_code": "US",
            "telephone_number": "760-944-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILGRAM",
        "first_name": "PHILLIP",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A35411",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A35411",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A35411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Irene Mielke
• Christopher Migdal, MD
• Mirna Victor Samy Riad Mikhail, PHARMD
• Michael Milad
• Milan Dental
• Aaron Michael Miller, M.D., PH.D.
• Alden Elizabeth Miller, MD
• Angela Simpson Miller, DDS
• Christine B Miller, M.D.
• Gavin Jacob Miller, D.D.S.

• All providers in La Jolla, CA
• Public Health & General Preventive Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2023; 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.
• 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.

Verify at the official NPI Registry.