Organization Active NPI

Rebecca D Miller MD

  • Dermatology Physician
  • Lompoc, CA
National Provider Identifier
1922298041
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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 MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A552310MedicaidCA

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.

Verify at the official NPI Registry.