Active NPI
Joel Edward Miller, M.D.
- Psychiatry Physician
- Pasadena, CA
National Provider Identifier
1316006836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G65507
- Practice address
- 2810 E del Mar Blvd
Suite 9
Pasadena, CA 91107-4321 - Phone
- (626) 577-9772
- Fax
- (626) 577-5964
- NPI assigned
- Dec 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G65507 | CA | Primary |
Addresses
Primary practice location
2810 E del Mar Blvd
Suite 9
Pasadena, CA 91107-4321
Mailing address
2810 E del Mar Blvd
Suite 9
Pasadena, CA 91107-4321
Phone (626) 577-9772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65507 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316006836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 E DEL MAR BLVD",
"address_2": "SUITE 9",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074321",
"telephone_number": "626-577-9772",
"fax_number": "626-577-5964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 E DEL MAR BLVD",
"address_2": "SUITE 9",
"city": "PASADENA",
"state": "CA",
"postal_code": "911074321",
"telephone_number": "626-577-9772",
"fax_number": "626-577-5964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JOEL",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G65507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.