Active NPI
Pamela S Miller, MSN NP
- Acute Care Nurse Practitioner
- Los Angeles, CA
National Provider Identifier
1730378696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 15169
- Practice address
- 10833 Leconte Avenue
Los Angeles, CA 90095 - Phone
- (310) 267-0844
- Fax
- (310) 267-4257
- NPI assigned
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 15169 | CA | Primary |
Addresses
Primary practice location
10833 Leconte Avenue
Los Angeles, CA 90095
Mailing address
10880 Wilshire Boulevard
Suite 860
Los Angeles, CA 90095-7338
Phone (310) 267-0844
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
- Credentials
- Master of Science - Nursing, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1730378696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10880 WILSHIRE BOULEVARD",
"address_2": "SUITE 860",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900957338",
"telephone_number": "310-267-0844",
"fax_number": "310-267-4257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10833 LECONTE AVENUE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90095",
"telephone_number": "310-267-0844",
"fax_number": "310-267-4257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PAMELA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MSN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-17",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "15169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.