Sean Millard

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-LBPJIW Issued in CA

Practice address

5400 Kearny Mesa Rd
San Diego, CA 92111-1303

Phone

(619) 717-2363

NPI assigned

Mar 10, 2025

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1730988049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KEARNY MESA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111303",
            "telephone_number": "619-717-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 KEARNY MESA RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921111303",
            "telephone_number": "619-717-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "SEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-LBPJIW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick Edward Millard, M.D.
• John B Millard, MD
• Keith Richard Millard, DENTIST
• Marie Maynard Millard, MFT
• Renee Evelyn Millard, F.A.C.T. CERT #382
• William Wilbur Millard II, M.D.
• Stephen Michael Millbern, MD
• Marlene May Millen, MD
• Millennium Health, LLC
• Marilyn Miller Betancourt

• Peer Specialist in San Diego, CA
• Providers in San Diego, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.