Organization Active NPI

Timothy a. Miller, MD, Inc

  • Plastic Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1740582444
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A21438 Issued in CA
Legal business name
TIMOTHY A. MILLER, MD, INC
Practice address
200 UCLA Medical PLZ
Suite 465
Los Angeles, CA 90095-6960
Phone
(310) 825-5644
Fax
(310) 206-4190
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Carolyn F. Casillas
Title
Office Manager
Phone
(310) 825-5898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X A21438 CA Primary

Addresses

Primary practice location

200 UCLA Medical PLZ
Suite 465
Los Angeles, CA 90095-6960

Mailing address

200 UCLA Medical PLZ
Suite 465
Los Angeles, CA 90095-6960
Phone (310) 825-5644

National Provider Directory

National Provider Directory

Locations

200 UCLA Medical Plz
Ste 4
Los Angeles, CA 90095
Phone (310) 825-5644

54206 File
Los Angeles, CA 90074

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1740582444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE 465",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956960",
            "telephone_number": "310-825-5644",
            "fax_number": "310-206-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 UCLA MEDICAL PLZ",
            "address_2": "SUITE 465",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900956960",
            "telephone_number": "310-825-5644",
            "fax_number": "310-206-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY A. MILLER, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "CASILLAS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-825-5898"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A21438",
            "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 Jun 28, 2011; 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.