Active NPI
McMillan Primary Care Medical
- Maternal & Fetal Medicine Physician
- Hawaiian Gardens, CA
National Provider Identifier
1689889891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal & Fetal Medicine Physician
- License
- C34897
- Legal business name
- MCMILLAN PRIMARY CARE MEDICAL
- Practice address
- 12131 Carson St
Hawaiian Gardens, CA 90716-1154 - Phone
- (562) 809-0299
- Fax
- (562) 809-0510
- NPI assigned
- May 11, 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
- Dr. Lemmon C McMillan, M.D.
- Title
- Owner
- Phone
- (562) 809-0299
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Maternal & Fetal Medicine Physician | 207VM0101X | C34897 | CA | Primary |
| General Practice Physician | 208D00000X | C34897 | CA |
Addresses
Primary practice location
12131 Carson St
Hawaiian Gardens, CA 90716-1154
Mailing address
12131 Carson St
Hawaiian Gardens, CA 90716-1154
Phone (562) 809-0299
National Provider Directory
National Provider Directory- Tax ID family
- McMillan Primary Care Medical
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Lynwood, CA
- NPI 1235344839
Locations
12131 Carson St
Hawaiian Gardens, CA 90716
Phone (562) 809-0299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1689889891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12131 CARSON ST",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907161154",
"telephone_number": "562-809-0299",
"fax_number": "562-809-0510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12131 CARSON ST",
"city": "HAWAIIAN GARDENS",
"state": "CA",
"postal_code": "907161154",
"telephone_number": "562-809-0299",
"fax_number": "562-809-0510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCMILLAN PRIMARY CARE MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MCMILLAN",
"authorized_official_first_name": "LEMMON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "562-809-0299",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": "CA",
"license": "C34897",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "C34897",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hawaiian Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.