NPIMap

Individual provider Active NPI

Kristine M Miller, MD

  • Obstetrics & Gynecology Physician
  • Los Gatos, CA
National Provider Identifier
1912389156
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
161945 Issued in CA
Practice address
15151 National Ave
Los Gatos, CA 95032-2627
Phone
(408) 356-0431
NPI assigned
Jun 24, 2015
Last updated
Jun 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X R76107 AZ
Obstetrics & Gynecology Physician 207V00000X 161945 CA Primary

Addresses

Primary practice location

15151 National Ave
Los Gatos, CA 95032-2627

Mailing address

15151 National Ave
Los Gatos, CA 95032-2627

Other practice location 1

1501 N. Campbell Ave.
Box 245078
Tucson, AZ 85724
Phone (520) 694-6010

Other practice location 2

4860 Y St Ste 2500
Sacramento, CA 95817-2307
Phone (916) 734-6978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831003692 CA Practitioner - Obstetrics/Gynecology 5395009666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

Practice addresses (Care Compare)

15151 National Ave
Suite 1
Los Gatos, CA 95032-2698
Phone (408) 356-0431

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161945CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance Obstetrics & Gynecology CurrentSince Jul 25, 2021 Accepting new patients
El Camino Hospital Past Accepting new patients
El Camino Hospital Past Accepting new patients
Regents of the University of California Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Los Olivos Women's Medical Clinic, Inc PastSince Jul 25, 2021 Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

15151 National Ave
Los Gatos, CA 95032
Phone (408) 356-0431

15151 National Ave
Ste 1
Los Gatos, CA 95032
Phone (408) 294-8122

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

Interoperability endpoints

  • Direct secure messaging: kmiller164954@direct.stanfordhealthcare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1912389156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 NATIONAL AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 NATIONAL AVE",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322627",
            "telephone_number": "408-356-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N. Campbell Ave.",
            "address_2": "Box 245078",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85724",
            "country_code": "US",
            "telephone_number": "520-694-6010",
            "fax_number": "520-694-2530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4860 Y St Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958172307",
            "country_code": "US",
            "telephone_number": "916-734-6978",
            "fax_number": "916-734-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KRISTINE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "R76107",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "161945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.