Organization Active NPI

Howard Milstein M D a Medical Corp

  • Specialist
  • La Jolla, CA
National Provider Identifier
1336267293
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C33686 Issued in CA
Legal business name
HOWARD MILSTEIN M D A MEDICAL CORP
Practice address
7334 Girard Ave
Suite 201
La Jolla, CA 92037-5141
Phone
(858) 454-8811
Fax
(858) 454-1729
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Authorized official

Name
Dr. Howard G. Milstein, M.D.NPI 1922091958
Title
President
Phone
(858) 454-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C33686 CA Primary

Addresses

Primary practice location

7334 Girard Ave
Suite 201
La Jolla, CA 92037-5141

Mailing address

2007 Caminito Capa
La Jolla, CA 92037-5705
Phone (858) 454-8811

Other names 1

  • LA JOLLA DERMATOLOGY & COSMETIC SURGERY Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127001080 CA Part B Supplier - Clinic/Group Practice 1850341736 Receives reassigned benefits from 6 practitioners
Practice locations: La Jolla, CA

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1336267293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 CAMINITO CAPA",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375705",
            "telephone_number": "858-454-8811",
            "fax_number": "858-454-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7334 GIRARD AVE",
            "address_2": "SUITE 201",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920375141",
            "telephone_number": "858-454-8811",
            "fax_number": "858-454-1729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD MILSTEIN M D A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "MILSTEIN",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-454-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C33686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LA JOLLA DERMATOLOGY & COSMETIC SURGERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.