Individual provider Active NPI

Kristen Calame Miller, N.P.

  • Family Nurse Practitioner
  • Mission Viejo, CA
National Provider Identifier
1386606739
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 11009 Issued in CA
Practice address
26932 Oso Pkwy
Suite 270
Mission Viejo, CA 92691-5815
Phone
(949) 600-5325
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 11009 CA Primary

Addresses

Primary practice location

26932 Oso Pkwy
Suite 270
Mission Viejo, CA 92691-5815

Mailing address

26932 Oso Parkway
Suite 270
Laguna Niguel, CA 92677-5432
Phone (714) 313-9668

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050826000523 CA Practitioner - Nurse Practitioner 9335170570 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 11009CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Array Skin Therapy, a Medical Corporation CurrentSince Oct 1, 2011 Accepting new patients

Locations

2990 S Sepulveda Blvd
Ste 208
Los Angeles, CA 90064

2990 S Sepulveda Blvd
Ste 201
Los Angeles, CA 90064
Phone (310) 477-7977

26932 Oso Pkwy
Ste 270
Mission Viejo, CA 92691
Phone (714) 313-9668

1601 Dove St
Ste 184
Newport Beach, CA 92660
Phone (949) 600-5325

1075 Yorba Pl
Ste 101
Placentia, CA 92870
Phone (714) 464-7777

2850 Artesia Blvd
Ste 208
Redondo Beach, CA 90278
Phone (310) 370-0371

161 Thunder Dr
Ste 209
Vista, CA 92083
Phone (760) 305-7010

Organizations & group practices 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1386606739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26932 OSO PARKWAY",
            "address_2": "SUITE 270",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775432",
            "telephone_number": "714-313-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26932 OSO PKWY",
            "address_2": "SUITE 270",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915815",
            "telephone_number": "949-600-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTEN",
        "middle_name": "CALAME",
        "name_prefix": "Ms.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 11009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.