Active NPI
Stuart M. Miller MD Inc
- Cardiovascular Disease Physician
- Marina del Rey, CA
National Provider Identifier
1568611580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G22661
- Legal business name
- STUART M. MILLER MD INC
- Practice address
- 4650 Lincoln Blvd
Marina del Rey, CA 90292 - Phone
- (310) 264-2561
- Fax
- (310) 264-2564
- NPI assigned
- Sep 15, 2008
- 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. Stuart Maher Miller
- Title
- Ceo
- Phone
- (310) 264-2561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G22661 | CA | Primary |
Addresses
Primary practice location
4650 Lincoln Blvd
Marina del Rey, CA 90292
Mailing address
2001 Santa Monica Blvd
Suite 470 W
Santa Monica, CA 90404
Phone (310) 264-2561
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G226610 | Medicaid | CA | |
| 110233953 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider Directory- Tax ID family
- Stuart M Miller MD Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Cardiovascular Disease Physician
- Santa Monica, CA
- NPI 1023265055
-
- Cardiovascular Disease Physician
- Culver City, CA
- NPI 1194976985
Locations
2001 Santa Monica Blvd
Ste 470W
Santa Monica, CA 90404
Phone (310) 264-2561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221436800000",
"number": "1568611580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SANTA MONICA BLVD",
"address_2": "SUITE 470 W",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "90404",
"telephone_number": "310-264-2561",
"fax_number": "310-264-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "90292",
"telephone_number": "310-264-2561",
"fax_number": "310-264-2564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART M. MILLER MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-15",
"last_updated": "2008-09-15",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "STUART",
"authorized_official_middle_name": "MAHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-264-2561",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G22661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G226610",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110233953",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.