Individual provider Active NPI

Georgiana Lobo Miller, DO

  • Family Medicine Physician
  • Fallbrook, CA
National Provider Identifier
1285814939
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11721 Issued in CA
Practice address
521 E Elder St Ste 105
Fallbrook, CA 92028-3082
Phone
(760) 728-8344
NPI assigned
Nov 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 485 NE
Family Medicine Physician 207Q00000X 20A11721 CA Primary

Addresses

Primary practice location

521 E Elder St Ste 105
Fallbrook, CA 92028-3082

Mailing address

28780 Single Oak Dr
Suite 160
Temecula, CA 92590-3625
Phone (951) 676-4193

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
I20111020000616 CA Practitioner - Family Practice 3375715139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rancho Family Medical Group IncGroup PAC ID 6305741240, 112 clinicians

Practice addresses (Care Compare)

521 E Elder St
Suite 105
Fallbrook, CA 92028-3082
Phone 95167641932109

Hospital & facility affiliations

  • Horizon Valley Home Health Care Inc Home health agency, Temecula, CA, CCN 059384

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions17
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
485NEMDNutritionist
20A11721CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Family Medical Group, Inc. Family Medicine CurrentSince Oct 1, 2011 Accepting new patients
Regents of the University of California Past Accepting new patients
Physicians' Hospital of Murrieta, LLC Past Accepting new patients
UC San Diego Health - Rancho Family Medical Group Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients

Locations

263 Church Ave
Chula Vista, CA 91910
Phone (619) 422-1324

521 E Elder St
Ste 105
Fallbrook, CA 92028
Phone (760) 728-0703

3853 W Stetson Ave
Ste 200
Hemet, CA 92545
Phone (951) 225-6802

31720 US Highway 79
Ste 100
Temecula, CA 92592
Phone (909) 303-6300

28780 Single Oak Dr
Ste 160
Temecula, CA 92590
Phone (951) 658-9461

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: georgiana.miller.1@11129.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1285814939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR",
            "address_2": "SUITE 160",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903625",
            "telephone_number": "951-676-4193",
            "fax_number": "951-719-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E ELDER ST STE 105",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920283082",
            "telephone_number": "760-728-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GEORGIANA",
        "middle_name": "LOBO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-10",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "485",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A11721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallbrook, CA

Sources for this page

Verify at the official NPI Registry.