Active NPI
Garrel Dean Miller, PA
- Personal Emergency Response Attendant
- Lakeport, CA
National Provider Identifier
1760492862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Emergency Response Attendant
- License
- PA 12840
- Practice address
- 5176 Hill Road E.
Lakeport, CA 95453-6300 - Phone
- (707) 262-5000
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | PA 12840 | CA | Primary |
Addresses
Primary practice location
5176 Hill Road E.
Lakeport, CA 95453-6300
Mailing address
P.O. Box 12289
Westminster, CA 92685-2289
Phone (877) 818-6101
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 12840 | CA | MD | Personal Emergency Response Attendant |
| 12840 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1760492862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 12289",
"city": "WESTMINSTER",
"state": "CA",
"postal_code": "926852289",
"telephone_number": "877-818-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5176 HILL ROAD E.",
"city": "LAKEPORT",
"state": "CA",
"postal_code": "954536300",
"telephone_number": "707-262-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "GARREL",
"middle_name": "DEAN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": "CA",
"license": "PA 12840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeport, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.