Active NPI
Carl A Miller, M.D.
- Anesthesiology Physician
- Escondido, CA
National Provider Identifier
1558355149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G66165
- Practice address
- 555 E Valley Pkwy
Escondido, CA 92025-3048 - Phone
- (760) 739-3000
- NPI assigned
- Sep 9, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G66165 | CA | Primary |
Addresses
Primary practice location
555 E Valley Pkwy
Escondido, CA 92025-3048
Mailing address
16955 Via del Campo
Ste 215
San Diego, CA 92127-7720
Phone (858) 673-6100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G661650 | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Consultants of California Medical Group Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Escondido, CA
- NPI 1164463055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277856000000",
"number": "1558355149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16955 VIA DEL CAMPO",
"address_2": "STE 215",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921277720",
"telephone_number": "858-673-6100",
"fax_number": "858-673-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 E VALLEY PKWY",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920253048",
"telephone_number": "760-739-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CARL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2010-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "G66165",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G661650",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Escondido, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.