Active NPI
Laura Martin Miller, M.D.
- Internal Medicine Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 80037
- Practice address
- 10700 Macarthur Blvd
Suite 14B
Oakland, CA 94605-5298 - Phone
- (510) 563-4300
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 80037 | CA | Primary |
Addresses
Primary practice location
10700 Macarthur Blvd
Suite 14B
Oakland, CA 94605-5298
Mailing address
3260 Sacramento St
Berkeley, CA 94702-2739
Phone (510) 601-6060
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ89670Z | Other | CA | PTAN |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80037 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Alameda Health System | Current | Accepting new patients | |
| Lifelong Medical Care | Current | Accepting new patients | |
| Lifelong Medical Care | Current | Accepting new patients | |
| Oakcare Medical Group Inc | Current | Accepting new patients |
Locations
3260 Sacramento St
Berkeley, CA 94702
Phone (510) 428-4500
2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203
9933 MacArthur Blvd
Oakland, CA 94605
Phone (510) 568-3206
10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300
1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Surgery Physician
- Oakland, CA
- NPI 1740332931
-
- Geriatric Medicine (Family Medicine) Physician
- Berkeley, CA
- NPI 1689670002
-
- Federally Qualified Health Center (FQHC)
- Newark, CA
- NPI 1497956288
-
- Federally Qualified Health Center (FQHC)
- San Leandro, CA
- NPI 1558749440
-
- Family Medicine Physician
- Rodeo, CA
- NPI 1003289463
-
- Specialist
- Oakland, CA
- NPI 1801887104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1487608774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 SACRAMENTO ST",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947022739",
"telephone_number": "510-601-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10700 MACARTHUR BLVD",
"address_2": "SUITE 14B",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946055298",
"telephone_number": "510-563-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LAURA",
"middle_name": "MARTIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "80037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "ZZZ89670Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.