Active NPI
Thomas Owen Miller, MD
- Emergency Medicine Physician
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A35333
- Practice address
- 1650 Creekside Dr
Emergency Department
Folsom, CA 95630-3400 - Phone
- (916) 983-7470
- Fax
- (916) 983-7540
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A35333 | CA | Primary |
Addresses
Primary practice location
1650 Creekside Dr
Emergency Department
Folsom, CA 95630-3400
Mailing address
PO Box 660160
Arcadia, CA 91066-0160
Phone (626) 447-0296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A353330 | Medicaid | CA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35333 | CA | MD | Emergency Medicine Physician |
| 35333 | CA | MD | Critical Care Certified Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Community Medical Team Acute Care Corporation | Emergency Medicine | Current | Accepting new patients |
| Woodland Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Sierra Rural Physicians, Inc. | Emergency Medicine | Past | Accepting new patients |
| Central California Radiology Associates Inc | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1650 Creekside Dr
Folsom, CA 95630
Phone (916) 983-7400
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
768 Mountain Ranch Rd
San Andreas, CA 95249
Phone (209) 464-6422
1801 E March Ln
Ste C300
Stockton, CA 95210
Phone (209) 464-6422
1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961
Organizations & group practices 7
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.
-
dba Community Medical Team Inc
- Emergency Medicine Physician
- San Andreas, CA
- NPI 1366210478
-
- Emergency Medicine Physician
- Woodland, CA
- NPI 1881868164
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Diagnostic Radiology Physician
- Visalia, CA
- NPI 1619343050
-
- Emergency Medicine Physician
- Mariposa, CA
- NPI 1699890905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1891860292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660160",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910660160",
"telephone_number": "626-447-0296",
"fax_number": "626-447-6057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 CREEKSIDE DR",
"address_2": "EMERGENCY DEPARTMENT",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303400",
"telephone_number": "916-983-7470",
"fax_number": "916-983-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "THOMAS",
"middle_name": "OWEN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A35333",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A353330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.