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DR. JONATHAN DANIEL MILLS DDS
NPI 1447993266
Dentist - Pediatric Dentistry in San Ysidro, CA

Active since April 19, 2022PECOS Enrolled
4050 BEYER BLVD, SAN YSIDRO, CA 92173(619) 662-4100 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2024, Apr 19, 2022 (2 updates tracked since 2022).

About Dr. Jonathan Daniel Mills Dds NPPES

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

DR. JONATHAN DANIEL MILLS DDS (NPI 1447993266) is an individual pediatric dentistry provider in San Ysidro, California, licensed in California (110142) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447993266
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JONATHAN DANIEL MILLSCredential: DDS
Location Address4050 BEYER BLVDSan Ysidro, CA 92173-2007
Mailing AddressPo Box 3414San Diego, CA 92163-1414
Phone(619) 662-4100
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 19, 2022
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1447993266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 110142
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4050 BEYER BLVD, San Ysidro, CA 92173
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Daniel Mills Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42795528
PECOS Enrollment IDI20260402000233
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jonathan Mills reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro Inc
Same address
Federally Qualified Health Center (FQHC)
4050 BEYER BLVD
San Ysidro, CA 92173
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1558852947 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. PATRICIA A GOMEZ-NARANJO MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DR. REGINA MARIE JAVIER GARCIA DMD
Dentist
4050 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
MS. KELLEY ALEXIS BUTLER MD, MPH
Family Medicine
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CHANMEE PRAISE SEO MD
Family Medicine
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
ANDRES ALONSO GOMEZ GARZA MD
Pediatrics
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100
DIANA LUC
Dentist (Pediatric Dentistry)
4050 BEYER BLVD
SAN DIEGO, CA 92173
San Diego County (619) 662-4100
ELISSA KIM SULLIVAN MD
Pediatrics
4050 BEYER BLVD
SAN YSIDRO, CA 92173
San Diego County (619) 662-4100

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 Jonathan Mills's NPI number?

The NPI number for Jonathan Mills is 1447993266. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Jonathan Mills located?

Jonathan Mills practices at 4050 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.

What is Jonathan Mills's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jonathan Mills enrolled in Medicare?

Yes. Jonathan Mills is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Mills's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Mills reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro Inc (San Ysidro, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonathan Mills's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Mills was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.