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KENNETH A MILLER M D MED CORP
NPI 1295847333
Dermatology in Los Gatos, CA

Active since August 31, 2006CLIA 05D0709619 · Certificate of Compliance
14527 S BASCOM AVE, LOS GATOS, CA 95032(408) 356-9111(408) 365-9113 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kenneth A Miller M D Med Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH A MILLER M D MED CORP (NPI 1295847333) is a healthcare organization registered as a dermatology in Los Gatos, California and active in the NPI registry since August 2006. The organization holds a CLIA Certificate of Compliance certificate valid through October 17, 2026 and lists Kenneth A Miller, President, as its authorized official.

NPPES Registry Identity

NPI1295847333
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameKENNETH A MILLER M D MED CORP
Location Address14527 S BASCOM AVELos Gatos, CA 95032-2003
Mailing Address14527 S Bascom AveLos Gatos, CA 95032-2003 · (408) 356-9111 · Fax (408) 365-9113
Phone(408) 356-9111
Fax(408) 365-9113
Organization SubpartNo
Authorized OfficialKenneth A MillerPresident · (408) 356-9111
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1295847333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in CA · G223300
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
14527 S BASCOM AVE, Los Gatos, CA 95032
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Other Identifiers 1

OtherG223300CA · Cal Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0709619

Kenneth Miller A Medical Corporation · Los Gatos, CA
Active · expires Oct 17, 2026
CLIA Number05D0709619
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2024
Certificate Expiration DateOctober 17, 2026
Laboratory DirectorKenneth A. Miller MD
Laboratory Phone(408) 356-9111
Laboratory LocationKenneth Miller A Medical Corporation14537 S Bascom Ave, Los Gatos, CA 95032
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH AMES MILLER M.D.
Dermatology
14527 S BASCOM AVE
LOS GATOS, CA 95032
Santa Clara County (408) 356-9111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth A Miller M D Med Corp's NPI number?

The NPI number for Kenneth A Miller M D Med Corp is 1295847333. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Kenneth A Miller M D Med Corp located?

Kenneth A Miller M D Med Corp is located at 14527 S Bascom Ave, Los Gatos, CA 95032. The listed phone number is (408) 356-9111.

What is Kenneth A Miller M D Med Corp's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Kenneth A Miller M D Med Corp hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0709619) is associated with this NPI, valid through October 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kenneth A Miller M D Med Corp was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.