Individual provider Active NPI

Paul J Miller, MD

  • Radiation Oncology Physician
  • Thousand Oaks, CA
National Provider Identifier
1992797526
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G65396 Issued in CA
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

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00G653960MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060502000721 CA Practitioner - Radiation Oncology 5092724088 Reassigns benefits to 1 organization

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
Coastal Radiation Oncology Medical Group, Inc.Group PAC ID 7214946201, 11 clinicians

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 Hospital, Thousand Oaks, CA, CCN 050549

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65396CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology CurrentSince Feb 17, 2006 Accepting new patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology Current Accepting new patients
Coastal Radiation Oncology Medical Group, Inc. Radiation Oncology CurrentSince Feb 17, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.