Individual provider Active NPI

Angela Rose Miller, D.O.

  • Internal Medicine Physician
  • Aliso Viejo, CA
National Provider Identifier
1285739128
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A6576 Issued in CA
Practice address
26671 Aliso Creek Rd
Suite 205
Aliso Viejo, CA 92656-4809
Phone
(949) 831-0300
Fax
(949) 831-0339
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20A6576 CA Primary

Addresses

Primary practice location

26671 Aliso Creek Rd
Suite 205
Aliso Viejo, CA 92656-4809

Mailing address

26671 Aliso Creek Rd
Suite 205
Aliso Viejo, CA 92656-4809
Phone (949) 831-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070320000614 CA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Pediatric Medicine 1153424759 Reassigns benefits to 1 organization
I20180702001984 NY Practitioner - Internal Medicine 1153424759 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285890NYMDLicensed Practical Nurse
20A6576CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trillium Health, Inc CurrentSince May 13, 2018 Accepting new patients
Long Valley Health Center CurrentSince Jun 15, 2020 Accepting new patients
Trillium Health, Inc CurrentSince May 13, 2018 Accepting new patients

Locations

50 Branscomb Rd
Laytonville, CA 95454
Phone (707) 984-6131

259 Monroe Ave
Rochester, NY 14607
Phone (585) 325-2280

Interoperability endpoints

  • Direct secure messaging: drmiller@direct.meditouchehr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/AECBBA

Organizations & group practices 4

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285739128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD",
            "address_2": "SUITE 205",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564809",
            "telephone_number": "949-831-0300",
            "fax_number": "949-831-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26671 ALISO CREEK RD",
            "address_2": "SUITE 205",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564809",
            "telephone_number": "949-831-0300",
            "fax_number": "949-831-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A6576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aliso Viejo, CA

Sources for this page

Verify at the official NPI Registry.