Individual provider Active NPI

Andrea Virinda Tonasut Millet, NP

  • Nurse Practitioner
  • Ridgecrest, CA
National Provider Identifier
1285905489
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
13799 Issued in CA
Practice address
900 N Heritage Dr
Suite B
Ridgecrest, CA 93555-5543
Phone
(760) 371-9160
Fax
(661) 729-6864
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 13799 CA Primary

Addresses

Primary practice location

900 N Heritage Dr
Suite B
Ridgecrest, CA 93555-5543

Mailing address

7483 Sequoia Lane
Highland, CA 92346-7731
Phone (909) 649-4660

Other names 1

  • Ms. Andrea Tonasut Millet Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524001416 CA Practitioner - Nurse Practitioner 8224029517 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13799CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Anesthesia Inc. CurrentSince Sep 1, 2019 Accepting new patients
Chitta Thiagarajah MD a Professional Medical Corporation CurrentSince Feb 28, 2012 Accepting new patients
Reekeshrpatelmd Inc CurrentSince Apr 1, 2025 Accepting new patients
Inland Interventional Medical Associates, Inc. PastSince Jun 20, 2009 Accepting new patients

Locations

4477 W 118th St
Ste 302
Hawthorne, CA 90250
Phone (310) 644-5353

4477 W 118th St
Ste 501
Hawthorne, CA 90250
Phone (310) 679-9999

44725 10th St W
Ste 110
Lancaster, CA 93534
Phone (661) 729-6854

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

900 N Heritage Dr
Ste B
Ridgecrest, CA 93555
Phone (661) 529-7550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1285905489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7483 SEQUOIA LANE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923467731",
            "telephone_number": "909-649-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N HERITAGE DR",
            "address_2": "SUITE B",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935555543",
            "telephone_number": "760-371-9160",
            "fax_number": "661-729-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONASUT MILLET",
        "first_name": "ANDREA",
        "middle_name": "VIRINDA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "13799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "MILLET",
            "middle_name": "TONASUT",
            "prefix": "MS.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.