Russell James Miles, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 19738 Issued in CA

Practice address

875 Blake Wilbur Drive
Palo Alto, CA 94305

Phone

(650) 724-6480

Fax

(650) 724-7091

NPI assigned

Oct 13, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IGBDDD

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.

• Southern California Vascular Institute Inc

  • Vascular & Interventional Radiology Physician
  • Beverly Hills, CA
  • NPI 1982029732
  NPD (past)

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1871828533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 SAN DIMAS ST",
            "address_2": "STE 102",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933015711",
            "telephone_number": "661-324-6593",
            "fax_number": "661-324-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DRIVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-724-6480",
            "fax_number": "650-724-7091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "RUSSELL",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-13",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA 19738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Mihelich
• Chantal Nathalie Mihm, PSY.D.
• Lauren A Mikula Schneider, PSYD
• Beatriz L Mileham, PH.D.
• Crystal Miles-Threatt
• Amin Antonios Milki, MD
• Anthony Amin Milki, MD
• Janice D. Mill, PH.D.
• Carlos Eduardo Milla, MD
• Brady Owen Millar, CCP

• Surgical Physician Assistant in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; 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.