Individual provider Active NPI

Kevin Arthur Miller, LVN

  • Licensed Vocational Nurse
  • Palm Springs, CA
National Provider Identifier
1700521929
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
717676 Issued in CA
Practice address
19-531 McLane St
Suite B
Palm Springs, CA 92262
Phone
(760) 288-4579
NPI assigned
May 2, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 717676 CA Primary

Addresses

Primary practice location

19-531 McLane St
Suite B
Palm Springs, CA 92262

Mailing address

52280 Avenida Madero
La Quinta, CA 92253-3220
Phone (760) 600-0931

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kevin.miller@ctcprograms.com Direct

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

LicenseStateTypeSpecialty
717676CAMDLicensed Vocational Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Comprehensive Treatment Center CurrentSince Aug 25, 2025 Accepting new patients
County of Riverside CurrentSince Dec 7, 2025 Accepting new patients
WCHS Inc. PastSince May 8, 2022 Accepting new patients

Locations

1330 N Indian Canyon Dr
Ste A
Palm Springs, CA 92262
Phone (760) 322-9056

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1700521929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52280 AVENIDA MADERO",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922533220",
            "telephone_number": "760-600-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19-531 MCLANE ST",
            "address_2": "SUITE B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-288-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KEVIN",
        "middle_name": "ARTHUR",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-02",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "717676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kevin.miller@ctcprograms.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1330 N Indian Canyon Dr Ste A",
            "city": "Palm Springs",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922624880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.

Verify at the official NPI Registry.