Active NPI
Mark P. Miller, M.D.,Inc.
- Interventional Cardiology Physician
- Anaheim, CA
National Provider Identifier
1518154343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- Legal business name
- MARK P. MILLER, M.D.,INC.
- Practice address
- 1211 W la Palma Ave
Suite 101
Anaheim, CA 92801-2815 - Phone
- (714) 635-9680
- Fax
- (714) 635-2924
- NPI assigned
- Sep 25, 2007
- Last updated
- Jul 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark P Miller, M.D.
- Title
- President
- Phone
- (714) 635-9680
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | NU | Primary |
Addresses
Primary practice location
1211 W la Palma Ave
Suite 101
Anaheim, CA 92801-2815
Mailing address
1211 W la Palma Ave
Suite 101
Anaheim, CA 92801-2815
Phone (714) 635-9680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ09867Z | Other | CA | BLUE SHIELD |
| 00G282080 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Anaheim, CA
- NPI 1073575353
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247097600000",
"number": "1518154343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "SUITE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012815",
"telephone_number": "714-635-9680",
"fax_number": "714-635-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "SUITE 101",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012815",
"telephone_number": "714-635-9680",
"fax_number": "714-635-2924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK P. MILLER, M.D.,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2009-07-09",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-635-9680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ09867Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G282080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.