Marcela Millan, M.D.
Individual provider Active NPI Pediatrics Physician · Menlo Park, CA
NPI 1699897124 · NPPES record last updated Aug 6, 2014
Key facts
- NPI
- 1699897124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- C128192 (CA)
- Practice address
- 1300 Crane St
Menlo Park, CA 94025-4260 - Phone
- (650) 498-7489
- Fax
- (650) 322-0966
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C128192 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affinity Medical Group | Past | Accepting new patients | |
| Chca Womans Hospital LP | Past | Accepting new patients | |
| Lucile Salter Packard Children'S Hospital at Stanford | Past | Accepting new patients |
Interoperability endpoints
- mmillan85628@direct.stanfordhealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C128192 | CA | Yes |
Addresses
Primary practice location
1300 Crane St
Menlo Park, CA 94025-4260
Mailing address
1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-7489
Other providers in Menlo Park, CA
- Mid-Peninsula Optical
- Kathryn Noel Middleton
- Midpeninsula Ophthalmology Medical Group Inc
- Gladys Miguel
- Maria Mikoyan
- McKenzie L Miller
- Tara D Miller
- Zachary Michael Miller
- Mills-Peninsula Health Services
- Virginia Victoria Mills
All providers in Menlo Park, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.