Individual provider Active NPI

Joseph Paul Miletich, M.D.

  • Internal Medicine Physician
  • Westlake Village, CA
National Provider Identifier
1548690290
Registry record updated Nov 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
R6B89 Issued in MO
Practice address
629 Lakeview Canyon Rd
Westlake Village, CA 91362-5601
Phone
(805) 796-8517
Fax
(805) 499-9875
NPI assigned
Nov 16, 2013
Last updated
Nov 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R6B89 MO Primary

Addresses

Primary practice location

629 Lakeview Canyon Rd
Westlake Village, CA 91362-5601

Mailing address

629 Lakeview Canyon Rd
Westlake Village, CA 91362-5601
Phone (805) 796-8517

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R6B89MOMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384560000000",
    "number": "1548690290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 LAKEVIEW CANYON RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625601",
            "telephone_number": "805-796-8517",
            "fax_number": "805-499-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 LAKEVIEW CANYON RD",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625601",
            "telephone_number": "805-796-8517",
            "fax_number": "805-499-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILETICH",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-16",
        "last_updated": "2013-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R6B89",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2013; 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.