Individual provider Active NPI

Leslie Miles

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1396068938
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
10601 Civic Center Dr Ste 100a
Rancho Cucamonga, CA 91730
Phone
(909) 284-4504
Fax
(909) 259-1428
NPI assigned
Mar 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

10601 Civic Center Dr Ste 100a
Rancho Cucamonga, CA 91730

Mailing address

10601 Civic Center Dr Ste 100a
Rancho Cucamonga, CA 91730-3878
Phone (909) 284-4504

Other practice location 1

3517 Camino Del Rio S
215
San Diego, CA 92108-4026
Phone (619) 584-5777 ext. 5863

Other practice location 2

8253 White Oak Ave
Rancho Cucamonga, CA 91730-7671
Phone (909) 284-4504

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Marriage and Family Therapy Services Professional Corporati Marriage & Family Therapist CurrentSince May 7, 2023 Accepting new patients

Locations

3491 Concours
Ste 202
Ontario, CA 91764
Phone (909) 284-4504

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": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1396068938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 CIVIC CENTER DR STE 100A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303878",
            "telephone_number": "909-284-4504",
            "fax_number": "909-259-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 CIVIC CENTER DR STE 100A",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-284-4504",
            "fax_number": "909-259-1428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3517 Camino Del Rio S",
            "address_2": "215",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084026",
            "country_code": "US",
            "telephone_number": "619-584-5777 x5863",
            "fax_number": "619-584-5760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8253 White Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917307671",
            "country_code": "US",
            "telephone_number": "909-284-4504",
            "fax_number": "909-259-1428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "LESLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.