Gordana Milatovic, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36981 Issued in CA

Practice address

12640 Sabre Springs Pkwy
Ste 103
San Diego, CA 92128-4113

Phone

(858) 486-9096

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366445363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12640 SABRE SPRINGS PKWY",
            "address_2": "STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284113",
            "telephone_number": "858-486-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12640 SABRE SPRINGS PKWY",
            "address_2": "STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284113",
            "telephone_number": "858-486-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILATOVIC",
        "first_name": "GORDANA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Marie Mikut, OTR/L
• Isabelle Anne Encela Milanes
• Tara Nicola Milanes, MFT
• Kira Milas
• Maria Milasinovic, PT, DPT
• Diane Joyce Milberg, DDS MSD
• Madison Marie Milbourn
• David G Milder, DDS.MD
• Edmund Alfred Milder, M.D.
• Megan Jenning Milder, DMD

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• 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.

Verify at the official NPI Registry.