NPIMap

Individual provider Active NPI

Mia Miller, M.D.

  • Otology & Neurotology Physician
  • Los Angeles, CA
National Provider Identifier
1639311764
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otology & Neurotology PhysicianTaxonomy code 207YX0901X
License
A103606 Issued in CA
Practice address
8635 W 3Rd St Ste 590W
Los Angeles, CA 90048-6163
Phone
(310) 423-1220
Fax
(310) 423-1230
NPI assigned
Apr 6, 2009
Last updated
Dec 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A103606 CA
Otology & Neurotology Physician 207YX0901X A103606 CA Primary

Addresses

Primary practice location

8635 W 3Rd St Ste 590W
Los Angeles, CA 90048-6163

Mailing address

2100 W 3Rd St
House Clinic
Los Angeles, CA 90057-1944
Phone (213) 483-9930

Other practice location 1

2100 W 3rd Str Ste 111
House Clinic
Los Angeles, CA 90057
Phone (213) 483-9930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131108001644 CA Practitioner - OtolaryngologyPractitioner - Other (Physician) 7012142573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Harvard Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

8635 W 3Rd St
Suite 465W
Los Angeles, CA 90048-6111
Phone (310) 423-0674

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A103606CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Oct 1, 2013 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2021 Accepting new patients
University of California SFGH Medical Group CurrentSince Oct 1, 2013 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Nov 1, 2021 Accepting new patients
Providence Saint John's Health Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

1245 Wilshire Blvd
Ste 812
Los Angeles, CA 90017
Phone (213) 369-4583

8631 W 3rd St
Ste 510
Los Angeles, CA 90048
Phone (310) 278-1490

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

8635 W 3rd St
Ste 590W
Los Angeles, CA 90048
Phone (310) 423-1220

1001 Potrero Ave
Rm 3A32
San Francisco, CA 94110
Phone (628) 206-8291

Interoperability endpoints

  • Direct secure messaging: mmiller240042@direct.cshs.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1639311764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 3RD ST",
            "address_2": "HOUSE CLINIC",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900571944",
            "telephone_number": "213-483-9930",
            "fax_number": "213-484-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8635 W 3RD ST STE 590W",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900486163",
            "telephone_number": "310-423-1220",
            "fax_number": "310-423-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 W 3rd Str Ste 111",
            "address_2": "House Clinic",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90057",
            "country_code": "US",
            "telephone_number": "213-483-9930",
            "fax_number": "213-484-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "MIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A103606",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "CA",
            "license": "A103606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.