Glenn Edward Miller, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G 29077 Issued in CA

Practice address

1431 Ocean Avenue
#720
Santa Monica, CA 90401-2148

Phone

(310) 963-6433

Fax

(310) 260-7976

NPI assigned

Nov 30, 2010

Last updated

Jul 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Obstetrics/Gynecology

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Socal Healthnet IncGroup PAC ID 2860525813, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Socal Healthnet Inc

  dba St. Luke Medical Clinic

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1487832655
  Medicare reassignment Care Compare group
• Next Door Med Net Inc.

  dba Next Door Community Clinic

  • General Practice Physician
  • Los Angeles, CA
  • NPI 1497258263
  Medicare reassignment NPD
• Advanced Community Medical Care Corp

  • Primary Care Clinic/Center
  • Inglewood, CA
  • NPI 1962851808
  NPD (past)

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

• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  Care Compare affiliation
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • West Hollywood, CA
  • NPI 1891940326
  Care Compare affiliation

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1902108764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 OCEAN AVE APT 720",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012148",
            "telephone_number": "310-963-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 OCEAN AVENUE",
            "address_2": "#720",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012148",
            "telephone_number": "310-963-6433",
            "fax_number": "310-260-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GLENN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G 29077",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "G29077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G20977",
            "identifier": "G20977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milla Zeltzer, Psy.D., Inc., a Psychological Corporation
• Janelle-Cheri Angella Millen, MB BS
• Chipp St.Kevin Miller, M.D.
• Emily Miller, M.D.
• Eric Dean Miller, L.AC
• Kevin M. Miller, M.D.
• Leah Miller, MA, LPCC
• Leslie Miller, O.D.
• Mariann Hybels Miller, PH.D.
• Meghan M Miller, LAC

• Obstetrics & Gynecology Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.