Paul Mittermiller, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

A131915 Issued in CA

Practice address

4640 Admiralty Way Ste 718
Marina del Rey, CA 90292-6634

Phone

(310) 823-4444

NPI assigned

Jun 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Farhad Sigari MD Facs PC

  dba Del Rey ENT Associates

  • Otolaryngology Physician
  • Marina del Rey, CA
  • NPI 1639459654
  Medicare reassignment NPD
• MD Solutions Medical Corp

  dba Unified Health care Inc.

  • Dermatology Physician
  • Sherman Oaks, CA
  • NPI 1902837735
  Medicare reassignment NPD

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1790123131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 ADMIRALTY WAY # 581",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "858-255-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY STE 718",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926634",
            "telephone_number": "310-823-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTERMILLER",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A131915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STUDENT TAXONOMY",
            "identifier": "390200000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Calanno Miller, LPTA
• Madison Milmeister, MS, M.ED, RDN
• Octavia Milsap
• Linda Misch, O.M.D.
• Ana Sofia Alicia Mitchell, MD
• Robin Elizabeth Mock, AU.D
• Modo Optometry
• Modo Optometry a Professional Optometry Corp
• Marjaneh Moghimi, DDS
• Gulpana M Mohammad, MD

• Plastic Surgery Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.