Active NPI
Rebecca D Miller MD
- Dermatology Physician
- Lompoc, CA
National Provider Identifier
1922298041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A55231
- Legal business name
- REBECCA D MILLER MD
- Practice address
- 1111 East Ocean Ave
Suite #10
Lompoc, CA 93436 - Phone
- (805) 736-2512
- Fax
- (805) 736-3183
- NPI assigned
- Jul 25, 2007
- Organization subpart
- Yes
- Parent organization
- REBECCA D MILLER MD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Rebecca D Miller, MD
- Title
- MD Owner
- Phone
- (805) 964-1514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | A55231 | Primary |
Addresses
Primary practice location
1111 East Ocean Ave
Suite #10
Lompoc, CA 93436
Mailing address
1111 East Ocean Ave
Suite #10
Lompoc, CA 93436
Phone (805) 736-2512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A552310 | Medicaid | CA |
National Provider Directory
National Provider Directory- Part of
- Rebecca D Miller MD
Locations
1111 E Ocean Ave
Ste 10
Lompoc, CA 93436
Phone (805) 736-2512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1922298041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 EAST OCEAN AVE",
"address_2": "SUITE #10",
"city": "LOMPOC",
"state": "CA",
"postal_code": "93436",
"telephone_number": "805-736-2512",
"fax_number": "805-736-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 EAST OCEAN AVE",
"address_2": "SUITE #10",
"city": "LOMPOC",
"state": "CA",
"postal_code": "93436",
"telephone_number": "805-736-2512",
"fax_number": "805-736-3183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA D MILLER MD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "REBECCA D MILLER MD",
"enumeration_date": "2007-07-25",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MD OWNER",
"authorized_official_telephone_number": "805-964-1514",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": "A55231",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A552310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.