Mark Miller MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A76869 Issued in CA

Legal business name

MARK MILLER MD INC

Practice address

800 Fairmount Ave
Ste 205
Pasadena, CA 91105-3150

Phone

(626) 405-1513

Fax

(626) 449-1166

NPI assigned

Jun 13, 2011

Last updated

Jun 13, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Edmund Miller II, MDNPI 1881647139

Title

Ceo

Phone

(626) 405-1513

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark Edmund Miller II, M.D.

  • Infectious Disease Physician
  • Pasadena, CA
  • NPI 1881647139
  NPD (past) Authorized official
• David Gee Man, MD

  • Infectious Disease Physician
  • Pasadena, CA
  • NPI 1366450637
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1558656090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W CENTRAL AVE",
            "address_2": "STE A",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928213032",
            "telephone_number": "714-996-1633",
            "fax_number": "714-996-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 FAIRMOUNT AVE",
            "address_2": "STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053150",
            "telephone_number": "626-405-1513",
            "fax_number": "626-449-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK MILLER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "EDMUND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-405-1513",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A76869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Marino
• Marion a Quinn MD Inc
• Dalayna Marji
• Mark Baker, PHD
• Mark Bernhard, D.O. Inc.
• Mark T Kidon DPM Facfas a Podiatry Corporation
• Mark Youssef MD. Inc.
• Amber Mark, BCBA
• June Mark, PHARM D
• Justin Edward Markel, MD

• Infectious Disease Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; 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.