Donald B Miller, M.D. a Professional Corp.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G16968 Issued in CA

Legal business name

DONALD B MILLER, M.D. A PROFESSIONAL CORP.

Practice address

1141 W Redondo Beach Blvd
406
Gardena, CA 90247-3586

Phone

(310) 515-1055

Fax

(310) 515-7685

NPI assigned

Mar 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Donald B. Miller, M.D.NPI 1316166770

Title

President

Phone

(310) 515-1055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Donald Bernard Miller, M.D.

  • Neurological Surgery Physician
  • Gardena, CA
  • NPI 1316166770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300060800000",
    "number": "1790083889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "406",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-515-1055",
            "fax_number": "310-515-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 W REDONDO BEACH BLVD",
            "address_2": "406",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902473586",
            "telephone_number": "310-515-1055",
            "fax_number": "310-515-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD B MILLER, M.D. A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-515-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G16968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherlyn Dominguez Villanueva
• Daisy Dominguez
• Gabriela Dominguez
• Joaquin Dominguez
• Amanda Donahue
• Elizabeth Yasmin Donis, MS, RD
• Youngming Roc Doo, L. AC.
• Stephanie Doroteo
• Keelie Marie Dorsey, RN
• Stephanie Dorzin

• Neurological Surgery Physician in Gardena, CA
• Providers in Gardena, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.