Individual provider Active NPI

Calvin Philip Miller, PA-C

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1740242403
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8975 Balboa Ave
San Diego, CA 92123-1507
Phone
(858) 262-8740
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8975 Balboa Ave
San Diego, CA 92123-1507

Mailing address

5651 Copley Dr
San Diego, CA 92111-7903
Phone (858) 499-2600

Other practice location 1

480 H St
Chula Vista, CA 91910-4328
Phone (858) 499-2600

Other practice location 2

5525 Grossmont Center Dr
LA Mesa, CA 91942-3009
Phone (858) 499-2600

Other practice location 3

10243 Genetic Center Dr
San Diego, CA 92121-6310
Phone (858) 499-2600

Other practice location 4

16899 W Bernardo Dr
San Diego, CA 92127-1603
Phone (858) 499-2600

Other practice location 5

300 Fir St
San Diego, CA 92101-2393
Phone (858) 499-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200428001554 CA Practitioner - Physician Assistant 4880987197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

2929 Health Ctr Dr
San Diego, CA 92123-2762
Phone (858) 499-2600

3075 Health Ctr Dr
Suite 401
San Diego, CA 92123-2773
Phone (858) 499-2600

8008 Frost St
Suite 106
San Diego, CA 92123-4229
Phone (858) 499-2600

8010 Frost St
FL 2
San Diego, CA 92123-4284
Phone (858) 499-2600

8975 Balboa Ave
San Diego, CA 92123-1507
Phone (858) 499-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
56727CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Sep 18, 2023 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc Physician Assistant CurrentSince Sep 18, 2023 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients

Locations

8975 Balboa Ave
San Diego, CA 92123
Phone (858) 499-2703

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340

Interoperability endpoints

  • Direct secure messaging: cmiller83011@sharphealthcare.direct-ci.com

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1740242403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 COPLEY DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117903",
            "telephone_number": "858-499-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8975 BALBOA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231507",
            "telephone_number": "858-262-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "480 H St",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919104328",
            "country_code": "US",
            "telephone_number": "858-499-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5525 Grossmont Center Dr",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423009",
            "country_code": "US",
            "telephone_number": "858-499-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10243 Genetic Center Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921216310",
            "country_code": "US",
            "telephone_number": "858-499-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16899 W Bernardo Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921271603",
            "country_code": "US",
            "telephone_number": "858-499-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Fir St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921012393",
            "country_code": "US",
            "telephone_number": "858-499-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "CALVIN",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.