Active NPI
Paul Milberg, MD
- Plastic and Reconstructive Surgery Physician
- Tarzana, CA
National Provider Identifier
1497816037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- G23346
- Practice address
- 5620 Wilbur Ave
#305
Tarzana, CA 91356 - Phone
- (818) 708-7116
- Fax
- (818) 708-8250
- NPI assigned
- Dec 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | G23346 | CA | Primary |
Addresses
Primary practice location
5620 Wilbur Ave
#305
Tarzana, CA 91356
Mailing address
5620 Wilbur Ave
Suite #305
Tarzana, CA 91356
Phone (818) 708-7116
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G23346 | CA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1497816037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 WILBUR AVE",
"address_2": "SUITE #305",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-708-7116",
"fax_number": "818-708-8250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 WILBUR AVE",
"address_2": "#305",
"city": "TARZANA",
"state": "CA",
"postal_code": "91356",
"telephone_number": "818-708-7116",
"fax_number": "818-708-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILBERG",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "G23346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.