Individual provider Active NPI

Thomas Owen Miller, MD

  • Emergency Medicine Physician
  • Folsom, CA
National Provider Identifier
1891860292
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A35333 Issued in CA
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

Updated by the provider on Jun 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A353330MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111001129 CA Practitioner - Emergency Medicine 7719935121 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A35333CAMDEmergency Medicine Physician
35333CAMDCritical Care Certified Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Aug 1, 2008 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Aug 1, 2008 Accepting new patients
Community Medical Team Acute Care Corporation Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Woodland Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Jul 1, 2008 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.

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

Verify at the official NPI Registry.