Kimiko P Miller, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA11833 Issued in CA

Practice address

300 E Yorba Linda Blvd Ste B
Placentia, CA 92870-2910

Phone

(714) 524-6000

Fax

(714) 524-6007

NPI assigned

Sep 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Kimiko Miller, Physician Assistant,Inc

  • Health Service Clinic/Center
  • Placentia, CA
  • NPI 1457199572
  NPD Authorized official
• First Choice Physician Partners

  dba De La Pena Eye Clinic, A Medical Group

  • Ophthalmology Physician
  • El Monte, CA
  • NPI 1912732892
  NPD (past)
• FW Dieterich MD Inc

  • Obstetrics & Gynecology Physician
  • Placentia, CA
  • NPI 1073757969
  NPD (past)

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1609861079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 SNOWFIELD ST",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214662",
            "telephone_number": "714-743-2722",
            "fax_number": "714-524-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E YORBA LINDA BLVD STE B",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702910",
            "telephone_number": "714-524-6000",
            "fax_number": "714-524-6007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15625 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906381627",
            "country_code": "US",
            "telephone_number": "562-902-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KIMIKO",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA-11833",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA11833",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael H. Macalalad, DDS Inc. (Archway Dental Care)
• Michael Liu M.D.
• Michael P de Carlo Optometrist Inc
• Gretchen Nicole Michalik
• Aimee Mikalinis
• Stacey Anderson Miller, MA-CCCSP
• Alanna Michelle Mills
• Brittany Milsap-Isimeme
• Mindful Solutions Family Therapy, Inc.
• Heather K Mineo, DVM, DACVECC

• Medical Physician Assistant in Placentia, CA
• Providers in Placentia, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.