Geoffrey Marc Miller, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

G43516 Issued in CA

Practice address

880 Apollo St
#243
El Segundo, CA 90245-4700

Phone

(310) 524-9091

Fax

(310) 524-9092

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1942352497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 APOLLO ST",
            "address_2": "#243",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454700",
            "telephone_number": "310-524-9091",
            "fax_number": "310-524-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 APOLLO ST",
            "address_2": "#243",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454700",
            "telephone_number": "310-524-9091",
            "fax_number": "310-524-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "GEOFFREY",
        "middle_name": "MARC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G43516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G435160",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS",
            "identifier": "CMS165200",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G435161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aasiyah Miller
• Ariyanna Miller
• Deanna Miller
• Dustin Miller, LCSW
• Emery Miller
• Giovanni Miller
• Gregory Alan Miller, M.D.
• Kristen Miller
• Lexi Miller
• Noah Miller

• Orthopaedic Surgery Physician in El Segundo, CA
• Providers in El Segundo, CA by specialty
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.