Millie Medical of California PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MILLIE MEDICAL OF CALIFORNIA PC

Practice address

111 N Market St Ste 379
San Jose, CA 95113-1101

Phone

(669) 305-6600

NPI assigned

May 5, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Michael Hafran, MD

Title

Owner

Phone

(262) 844-0695

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1740926534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 MARKET ST STE 73799",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941045401",
            "telephone_number": "262-844-0695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MARKET ST STE 379",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131101",
            "telephone_number": "669-305-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLIE MEDICAL OF CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "HAFRAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-844-0695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrie Anne Miller, LAADC
• Tyrese Pedro Miller
• Zachary George Miller
• Alicia Marie Millet
• Ashley Millet
• Kelly Milliken
• Pamela A. Milliken
• Kim Millman, MD PHD
• Kelsey Mills-Bunje
• Carlyn Barbara Mills, DPT

• General Practice Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.