Glenn a. Miller, D.P.M.,P.C.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

GLENN A. MILLER, D.P.M.,P.C.

Practice address

11076 Weatherwood Ter
San Diego, CA 92131-2669

Phone

(424) 201-1488

NPI assigned

Dec 13, 2022

Organization subpart

No

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

Authorized official

Name

Glenn A Miller, DPMNPI 1164457966

Title

Owner

Phone

(424) 201-1488

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Alan Miller, D.P.M.

  • Podiatrist
  • San Diego, CA
  • NPI 1164457966
  Medicare reassignment Care Compare group NPD Authorized official
• William Clark, DPM

  • Foot & Ankle Surgery Podiatrist
  • National City, CA
  • NPI 1265888937
  Medicare reassignment Care Compare group NPD
• Vu Nguyen

  • Foot & Ankle Surgery Podiatrist
  • Fountain Valley, CA
  • NPI 1629478094
  Medicare reassignment Care Compare group NPD
• Ummi Clark, CMT, CLC, CSC

  • Massage Therapist
  • Escondido, CA
  • NPI 1447640289
  NPD (past)
• Hau Hien Tan, M.D.

  • Internal Medicine Physician
  • La Mesa, CA
  • NPI 1912907726
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670889600000",
    "number": "1497466155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11076 WEATHERWOOD TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312669",
            "telephone_number": "424-201-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11076 WEATHERWOOD TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312669",
            "telephone_number": "424-201-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENN A. MILLER, D.P.M.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-201-1488",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164457966",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Gerard Gleeson, M.D.
• Julia Star Gleichman, MD
• Jennifer Lyn Gleim, MPT
• Sara Gleiss, ANP
• Glen F Pastores
• Glenn C. Ashmore DDS, Inc.
• Glenn Casey Ashmore Dental Corp.
• Alex Glenn
• Dana Glenn, M.D.
• Faraha R Glenn

• Podiatrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.