Individual provider Active NPI

Jack Miletic, M.D.

  • Interventional Pain Medicine Physician
  • Encinitas, CA
National Provider Identifier
1982872990
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
A102672 Issued in CA
Practice address
944 Regal Rd
Encinitas, CA 92024-4634
Phone
(872) 231-3162
NPI assigned
Feb 12, 2008
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X A102672 CA Primary

Addresses

Primary practice location

944 Regal Rd
Encinitas, CA 92024-4634

Mailing address

PO Box 7410882
Chicago, IL 60674-0882
Phone (702) 899-0595

Other identifiers 1

IdentifierTypeStateIssuer
ME106247OtherFLFL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100803000479 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 7012040686 Reassigns benefits to 6 organizations
I20160830002344 CA Practitioner - Pain ManagementPractitioner - Interventional Pain Management 7012040686 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Interventional Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hardison Medical CorporationGroup PAC ID 1456604339, 13 clinicians

Practice addresses (Care Compare)

6037 La Granada
Suite C
Rancho Santa Fe, CA 92067
Phone (858) 771-1349

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102672CAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants California Inc CurrentSince Aug 1, 2023 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Hardison Medical Corporation CurrentSince Feb 7, 2024 Accepting new patients
Healthtopia PLLC CurrentSince Feb 7, 2024 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
National Surgical Centers of America LLC CurrentSince Nov 1, 2019 Accepting new patients
Abaci and Massey Pain Management Center a Medical Corporation Pain Medicine PastSince Sep 29, 2014 Accepting new patients

Locations

1340 E Madison Ave
El Cajon, CA 92021
Phone (619) 441-1020

142 Encinitas Blvd
Encinitas, CA 92024
Phone (760) 230-1888

900 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 752-6423

944 Regal Rd
Encinitas, CA 92024
Phone (760) 944-0331

7160 Fay Ave
La Jolla, CA 92037
Phone (858) 459-4361

601 N Montgomery St
Ojai, CA 93023
Phone (805) 646-8124

5225 S J St
Oxnard, CA 93033
Phone (805) 488-3696

3940 4th Ave
Ste 130140
San Diego, CA 92103
Phone (760) 230-1888

4110 Sorrento Valley Blvd
San Diego, CA 92121
Phone (858) 246-9698

6061 Banbury St
San Diego, CA 92139
Phone (619) 428-4119

4444 W Meadow Ave
Visalia, CA 93277
Phone (559) 251-8463

1224 Rossmoor Pkwy
Walnut Creek, CA 94595
Phone (925) 937-7450

5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500

5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000

13945 N US Highway 441
The Villages, FL 32159
Phone (352) 277-3500

1693 Lee Rd
Ste A
Winter Park, FL 32789
Phone (407) 287-4300

11350 McCormick Rd
Ste 501
Hunt Valley, MD 21031
Phone (410) 329-1071

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: jack.miletic.1@20083.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1982872990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7410882",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606740882",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 REGAL RD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244634",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILETIC",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-12",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "A102672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL LICENSE",
            "identifier": "ME106247",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.