Individual provider Active NPI

Milliesaar Rama, FNP-C, OTR

  • Family Nurse Practitioner
  • Fontana, CA
National Provider Identifier
1922497817
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033927 Issued in CA
Practice address
7965 Sierra Ave Ste E
Fontana, CA 92336-3329
Phone
(909) 356-4459
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95033927 CA Primary
Occupational Therapist 225X00000X 8149 CA

Addresses

Primary practice location

7965 Sierra Ave Ste E
Fontana, CA 92336-3329

Mailing address

742 W Highland Ave
San Bernardino, CA 92405-3839
Phone (909) 881-7320

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251113002815 CA Practitioner - Nurse Practitioner 3870402969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

742 W Highland Ave
San Bernardino, CA 92405-3839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95033927CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Marcos Medical Group Inc CurrentSince Sep 1, 2025 Accepting new patients

Locations

7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459

14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160

7576 Sterling Ave
Ste Cd
San Bernardino, CA 92410
Phone (909) 381-8983

1574 W Base Line St
Ste 107
Sn Bernrdno, CA 92411
Phone (909) 386-1880

742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320

Interoperability endpoints

  • Direct secure messaging: milliesaar.rama.p1@direct.metro.nextgenshare.com

Organizations & group practices 1

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1922497817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "742 W HIGHLAND AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053839",
            "telephone_number": "909-881-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7965 SIERRA AVE STE E",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923363329",
            "telephone_number": "909-356-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMA",
        "first_name": "MILLIESAAR",
        "name_prefix": "Miss",
        "credential": "FNP-C, OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033927",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "8149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.