Miles Reuben Picus, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC001444 Issued in CA

Practice address

181 S Buena Vista St
Burbank, CA 91505-4504

Phone

(818) 748-4748

NPI assigned

Jul 19, 2021

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1407429327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 S BUENA VISTA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-748-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S BUENA VISTA ST",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054504",
            "telephone_number": "818-748-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICUS",
        "first_name": "MILES",
        "middle_name": "REUBEN",
        "credential": "MS, CGC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC001444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Phung, DO
• Wa Sai Phung, PHARM.D.
• Physicians Immunodiagnostic Laboratory, Inc.
• Florinda Mailom Piano, MD
• Anna Agnieszka Piaseczna, FNP
• Joy Pieri, LCSW
• Pierre Manukian, M.D., Inc.
• Vanessa Pinal
• Dianamie Pineda
• Shereebelle Aguilar Pineda, NP

• Genetic Counselor (M.S.) in Burbank, CA
• Providers in Burbank, CA by specialty
• Genetic Counselor (M.S.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.