Active NPI
Millet Inc
- Certified Registered Nurse Anesthetist
- Ridgecrest, CA
National Provider Identifier
1669599429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN543799
- Legal business name
- MILLET INC
- Practice address
- 1111 N China Lake Blvd
Ridgecrest, CA 93555-3131 - Phone
- (760) 446-8100
- Fax
- (760) 446-8181
- NPI assigned
- Mar 24, 2007
- 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
- Mr. Kevin Jon Millet, C.R.N.A.
- Title
- Nurse Anesthetist
- Phone
- (909) 844-9215
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN543799 | CA | Primary |
Addresses
Primary practice location
1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Mailing address
5 Holland Ste 101
Irvine, CA 92618-2568
Phone (949) 588-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Rancho Cucamonga, CA
- NPI 1083699854
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1278547200000",
"number": "1669599429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 HOLLAND STE 101",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182568",
"telephone_number": "949-588-2190",
"fax_number": "949-588-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 N CHINA LAKE BLVD",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935553131",
"telephone_number": "760-446-8100",
"fax_number": "760-446-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MILLET INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-24",
"last_updated": "2010-07-08",
"status": "A",
"authorized_official_last_name": "MILLET",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "JON",
"authorized_official_title_or_position": "NURSE ANESTHETIST",
"authorized_official_telephone_number": "909-844-9215",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "C.R.N.A."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "RN543799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.