Individual provider Active NPI

Robert Brandon Miles, ASSOCIATE CSW

  • Clinical Social Worker
  • Desert Hot Springs, CA
National Provider Identifier
1821645599
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ASW86285 Issued in CA
Practice address
14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone
(760) 770-2264
NPI assigned
Aug 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ASW86285 CA Primary

Addresses

Primary practice location

14320 Palm Dr
Desert Hot Springs, CA 92240-6874

Mailing address

14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone (760) 770-2264

Other practice location 1

1370 S State St Ste A
San Jacinto, CA 92583-4922
Phone (951) 791-3350

Other practice location 2

1515 N Sunrise Way
Palm Springs, CA 92264
Phone (760) 770-2286

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ASW86285CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1821645599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14320 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922406874",
            "telephone_number": "760-770-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14320 PALM DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922406874",
            "telephone_number": "760-770-2264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1370 S State St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925834922",
            "country_code": "US",
            "telephone_number": "951-791-3350",
            "fax_number": "951-791-3353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 N Sunrise Way",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "92264",
            "country_code": "US",
            "telephone_number": "760-770-2286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "ROBERT",
        "middle_name": "BRANDON",
        "credential": "ASSOCIATE CSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW86285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desert Hot Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.