Active NPI
Jere Alan Miller, D.P.M.
- Podiatrist
- San Diego, CA
National Provider Identifier
1740253368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2470
- Practice address
- 4060 Huerfano Ave
#312
San Diego, CA 92117-5207 - Phone
- (858) 560-7270
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2470 | CA | Primary |
Addresses
Primary practice location
4060 Huerfano Ave
#312
San Diego, CA 92117-5207
Mailing address
PO Box 90801
San Diego, CA 92169-2801
Phone (858) 560-7270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E000002470 | Medicaid | CA |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1740253368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 90801",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921692801",
"telephone_number": "858-560-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 HUERFANO AVE",
"address_2": "#312",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175207",
"telephone_number": "858-560-7270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JERE",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "E000002470",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.