Active NPI
Paul J Miller, MD
- Radiation Oncology Physician
- Thousand Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- G65396
- Practice address
- 2230 Lynn Rd
Suite 103
Thousand Oaks, CA 91360-1901 - Phone
- (805) 496-4111
- Fax
- (805) 496-2861
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | G65396 | CA | Primary |
Addresses
Primary practice location
2230 Lynn Rd
Suite 103
Thousand Oaks, CA 91360-1901
Mailing address
2230 Lynn Rd Ste 103
Thousand Oaks, CA 91360-1958
Phone (208) 437-2114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G653960 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2985 N Sycamore Dr
Simi Valley Radiation Oncology Medi
Simi Valley, CA 93065-1201
Phone (805) 584-6611
Hospital & facility affiliations
- Los Robles Hospital & Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65396 | CA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Radiation Oncology Medical Group, Inc. | Radiation Oncology | Current | Accepting new patients |
| Coastal Radiation Oncology Medical Group, Inc. | Radiation Oncology | Current | Accepting new patients |
| Coastal Radiation Oncology Medical Group, Inc. | Radiation Oncology | Current | Accepting new patients |
| Los Robles Regional Medical Center | Past | Accepting new patients | |
| Coastal Radiation Oncology Medical Group, Inc. | Radiation Oncology | Past | Accepting new patients |
| Simi Valley Hospital and Health Care Services | Past | Accepting new patients | |
| Coastal Radiation Oncology Medical Group, Inc. | Radiation Oncology | Past | Accepting new patients |
Locations
1069 Los Palos Dr
Salinas, CA 93901
Phone (831) 758-2724
2985 Sycamore Dr
Simi Valley, CA 93065
Phone (805) 584-6611
100 Casa St
Ste C
Sn Luis Obisp, CA 93405
Phone (805) 541-1932
274 Heather Ct
#A
Templeton, CA 93465
Phone (805) 434-1859
2230 Lynn Rd
Ste 103
Thousand Oaks, CA 91360
Phone (805) 462-0745
2900 Loma Vista Rd
Ste 100
Ventura, CA 93003
Phone (805) 648-5191
1240 S Westlake Blvd
Ste 103
Westlake Vlg, CA 91361
Phone (805) 482-2419
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- pmiller@croradiation.direct.varian.com
Organizations & group practices 7
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.
-
- Radiation Oncology Physician
- Lompoc, CA
- NPI 1922038173
-
- Radiation Oncology Physician
- Ventura, CA
- NPI 1922038009
-
- Radiation Oncology Physician
- Simi Valley, CA
- NPI 1932131158
-
- Radiation Oncology Physician
- Santa Maria, CA
- NPI 1093749129
-
- Radiation Oncology Physician
- Salinas, CA
- NPI 1699707885
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1033163019
-
- General Acute Care Hospital
- Simi Valley, CA
- NPI 1063495190
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thousand Oaks, CA
- NPI 1306890389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659657600000",
"number": "1992797526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2230 LYNN RD STE 103",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601958",
"telephone_number": "208-437-2114",
"fax_number": "208-437-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 LYNN RD",
"address_2": "SUITE 103",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913601901",
"telephone_number": "805-496-4111",
"fax_number": "805-496-2861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "PAUL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2022-08-05",
"certification_date": "2022-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "G65396",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G653960",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.