Jerry Miller, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

31770-020 Issued in WI

Practice address

211 13TH St
Ramona, CA 92065-2711

Phone

(760) 789-5160

Fax

(760) 789-6316

NPI assigned

May 10, 2006

Last updated

Dec 23, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family Practice

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Archer Health Inc Home health agency, Carlsbad, CA, CCN 053124
• Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: jerry.miller.p1@direct.arch.nextgenshare.com

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

• Arch Health Partners, Inc

  dba Palomar Health Medical Group

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Optimal Health Care Inc

  dba Archer Health, Inc.

  • Home Health Agency
  • Carlsbad, CA
  • NPI 1053741017
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Poway

  • General Acute Care Hospital
  • Poway, CA
  • NPI 1376513754
  Care Compare affiliation

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1871543199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28199",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921980199",
            "telephone_number": "858-675-3100",
            "fax_number": "858-618-1523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 13TH ST",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920652711",
            "telephone_number": "760-789-5160",
            "fax_number": "760-789-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "31770-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871543199",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "119340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mental Health Systems, Inc. (BPSR Kinesis North - Ramona Clinic)
• Michael T Bowersox MD Inc
• Angie L Miller
• Derrick James Miller
• Jennifer Ane Miller, PSY.D.
• Julie A Mills, CADC-CAS
• Mindful Living Psychotherapy
• Mindsmith, a Psychological Professional Corporation (Mindsmith)
• Silvia Isabel Mohr
• Alexis Clarissa Morales

• Family Medicine Physician in Ramona, CA
• Providers in Ramona, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.