Individual provider Active NPI

Miller C Jennings, D.O.

  • Diagnostic Radiology Physician
  • Beverly Hills, CA
National Provider Identifier
1659768679
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
20A20077 Issued in CA
Practice address
8750 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-2708
Phone
(310) 689-3100
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 20A20077 CA Primary

Addresses

Primary practice location

8750 Wilshire Blvd Ste 100
Beverly Hills, CA 90211-2708

Mailing address

PO Box 395
Sun City, CA 92586-0395

Other practice location 1

1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 652-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240206003300 HI Practitioner - Diagnostic Radiology 8527351204 Reassigns benefits to 2 organizations
I20240228004415 CA Practitioner - Diagnostic Radiology 8527351204 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beverly Radiology Medical Group IIIGroup PAC ID 3476466376, 327 clinicians

Practice addresses (Care Compare)

3413 W Pacific Ave
Suite 101
Burbank, CA 91505-1598
Phone (818) 616-6538

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20077CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Jan 2, 2024 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Stockton Diagnostic Imaging Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Diagnostic Radiological Imaging Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Feb 7, 2024 Accepting new patients
Golden State Imaging Associates Inc Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Desert Advanced Imaging Medical Center Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince May 7, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 15, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Aug 15, 2025 Accepting new patients
Santa Rosa Imaging Medical Center Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jan 2, 2024 Accepting new patients
Modesto Advanced Diagnostic Imaging Medical Center Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
North Hawaii Community Hospital, Inc. CurrentSince Feb 7, 2024 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Norcal Imaging - Open MRI of Walnut Creek Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Beverly Radiology Medical Group III Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Fresno Imaging Center Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Queens University Medical Group CurrentSince Dec 24, 2023 Accepting new patients

Locations (25 of 39)

18523 Corwin Rd
Ste J
Apple Valley, CA 92307
Phone (760) 242-4444

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

3413 W Pacific Ave
Ste 101
Burbank, CA 91505
Phone (818) 616-6538

2601 W Alameda Ave
Ste 101
Burbank, CA 91505
Phone (818) 843-7462

2300 Clayton Rd
Ste 160
Concord, CA 94520
Phone (925) 825-7777

801 S Main St
Ste 101
Corona, CA 92882
Phone (951) 682-1099

801 S Main St
Ste 205
Corona, CA 92882
Phone (951) 351-1025

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

6191 N Thesta St
Fresno, CA 93710
Phone (559) 435-7200

6107 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 435-4433

9191 Westminster Ave
Ste 105
Garden Grove, CA 92844
Phone (714) 583-6314

250 S 12th Ave
Hanford, CA 93230
Phone (559) 295-2450

2679 Zoe Ave
Huntington Park, CA 90255
Phone (323) 584-3333

47111 Monroe St
#1112
Indio, CA 92201

11360 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-3300

3715 E South St
Long Beach, CA 90805
Phone (562) 602-0700

3320 N Los Coyotes Diagonal
Ste 120
Long Beach, CA 90808
Phone (562) 627-0903

8436 W 3rd St
Ste 801
Los Angeles, CA 90048
Phone (310) 358-2100

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

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

27168 Newport Rd
Ste B
Menifee, CA 92584
Phone (951) 566-5725

157 E Coolidge Ave
Modesto, CA 95350
Phone (209) 524-6800

25395 Hancock Ave
#1101112
Murrieta, CA 92562
Phone (951) 696-4230

Organizations & group practices 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1659768679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925860395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8750 WILSHIRE BLVD STE 100",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112708",
            "telephone_number": "310-689-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 E Devonshire Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925433083",
            "country_code": "US",
            "telephone_number": "951-652-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MILLER",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A20077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.