Active NPI
Sandra Ann Miller, L.AC.
- Acupuncturist
- San Bernardino, CA
National Provider Identifier
1659572360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- AC7629
- Practice address
- 155 W Hospitality LN
Suite 105
San Bernardino, CA 92408-3305 - Phone
- (619) 312-7777
- Fax
- (909) 885-5818
- NPI assigned
- May 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC7629 | CA | Primary |
Addresses
Primary practice location
155 W Hospitality LN
Suite 105
San Bernardino, CA 92408-3305
Mailing address
2514 Chalcedony St
San Diego, CA 92109-2332
Phone (619) 312-7777
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC7629 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1659572360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 CHALCEDONY ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921092332",
"telephone_number": "619-312-7777",
"fax_number": "909-885-5818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W HOSPITALITY LN",
"address_2": "SUITE 105",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924083305",
"telephone_number": "619-312-7777",
"fax_number": "909-885-5818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SANDRA",
"middle_name": "ANN",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "AC7629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.