Individual provider Active NPI

Sanford Jack Milner, D.P.M.

  • Foot Surgery Podiatrist
  • Camarillo, CA
National Provider Identifier
1316995426
Registry record updated Mar 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E1717 Issued in CA
Practice address
3901 Las Posas Rd
#201
Camarillo, CA 93010-1505
Phone
(805) 484-1333
Fax
(805) 482-4374
NPI assigned
May 4, 2006
Last updated
Mar 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E1717 CA Primary

Addresses

Primary practice location

3901 Las Posas Rd
#201
Camarillo, CA 93010-1505

Mailing address

3901 Las Posas Rd
#201
Camarillo, CA 93010-1501
Phone (805) 484-1333

Other names 1

  • Dr. Jack Milner Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1316995426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "#201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101501",
            "telephone_number": "805-484-1333",
            "fax_number": "805-482-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 LAS POSAS RD",
            "address_2": "#201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101505",
            "telephone_number": "805-484-1333",
            "fax_number": "805-482-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILNER",
        "first_name": "SANFORD",
        "middle_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E1717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "MILNER",
            "prefix": "DR.",
            "credential": "D.P.M.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.