Milestone Pediatrics Medical, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MILESTONE PEDIATRICS MEDICAL, P.C.

Doing business as

Milestone Pediatrics Medical, Inc.

Practice address

3435 S Demaree St Ste a
Visalia, CA 93277-7006

Phone

(559) 746-7337

Fax

(559) 746-7746

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Jennifer PachecoNPI 1386078780

Title

Secretary

Phone

(559) 746-7337

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Milestone Pediatrics Medical, Inc. Doing business as

Electronic endpoints 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Elizabeth Pacheco, FNP

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1386078780
  NPD Authorized official

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645488000000",
    "number": "1750033411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S DEMAREE ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 S DEMAREE ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777006",
            "telephone_number": "559-746-7337",
            "fax_number": "559-746-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE PEDIATRICS MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "559-746-7337"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386078780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508189952",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@milestone-pediatrics.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3435 S Demaree St Ste A",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932777006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jen@milestone-pediatrics.com",
            "affiliation": "N",
            "address_1": "3435 S Demaree St Ste A",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932777006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Milestone Pediatrics Medical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael T. Bodensteiner D.D. S. Inc.
• Daniel J Middleton
• Erik Miguel, DO
• Jason Andrew Mihalcin, D.O.
• Ryan Milan
• Milestone Pediatrics, Inc.
• Caroline Millar, M.D.
• Millcreek Ambulatory Surgery Center
• Ann Shen Miller, MPT
• Eerais Miller, FNP-BC, NP-C

• Pediatrics Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.