Organization Active NPI

Miller Family Medicine and Minor Trauma

  • Internal Medicine Physician
  • Grass Valley, CA
National Provider Identifier
1790954782
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MILLER FAMILY MEDICINE AND MINOR TRAUMA
Practice address
10042 Wolf Rd Ste a
Grass Valley, CA 95949-8192
Phone
(530) 268-8778
Fax
(530) 268-8765
NPI assigned
Feb 25, 2008
Last updated
Feb 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. Walter Scott Miller, MDNPI 1013985340
Title
Owner
Phone
(530) 268-8778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

10042 Wolf Rd Ste a
Grass Valley, CA 95949-8192

Mailing address

10042 Wolf Rd Ste a
Grass Valley, CA 95949-8192
Phone (530) 268-8778

National Provider Directory

National Provider Directory

Locations

10042 Wolf Rd
Ste A
Grass Valley, CA 95949
Phone (530) 268-1386

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1790954782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10042 WOLF RD STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498192",
            "telephone_number": "530-268-8778",
            "fax_number": "530-268-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10042 WOLF RD STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959498192",
            "telephone_number": "530-268-8778",
            "fax_number": "530-268-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER FAMILY MEDICINE AND MINOR TRAUMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-268-8778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.