Organization Active NPI

LR Miller MD a Professional Corporation

  • Specialist
  • Santa Cruz, CA
National Provider Identifier
1811249030
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G8725 Issued in CA
Legal business name
LR MILLER MD A PROFESSIONAL CORPORATION
Practice address
1595 Soquel Dr Ste 350
Santa Cruz, CA 95065-1723
Phone
(831) 476-6300
Fax
(831) 476-7106
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Linda R Miller, MD
Title
President
Phone
(831) 476-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G8725 CA Primary

Addresses

Primary practice location

1595 Soquel Dr Ste 350
Santa Cruz, CA 95065-1723

Mailing address

1595 Soquel Dr Ste 350
Santa Cruz, CA 95065-1723
Phone (831) 476-6300

Other names 1

  • LINDA R MILLER Former legal business name

National Provider Directory

National Provider Directory

Locations

1595 Soquel Dr
Ste 350
Santa Cruz, CA 95065
Phone (831) 427-7110

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1811249030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR STE 350",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651723",
            "telephone_number": "831-476-6300",
            "fax_number": "831-476-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SOQUEL DR STE 350",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651723",
            "telephone_number": "831-476-6300",
            "fax_number": "831-476-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LR MILLER MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-476-6300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G8725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LINDA R MILLER",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.