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DR. EDMUND ALFRED MILDER M.D.
NPI 1760460026
Pediatrics - Pediatric Infectious Diseases in San Diego, CA

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6474(619) 532-7478 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edmund Alfred Milder M.d. NPPES

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

DR. EDMUND ALFRED MILDER M.D. (NPI 1760460026) is an individual pediatric infectious diseases provider in San Diego, California, licensed in California (C175758) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1760460026
Entity TypeIndividualMale
Primary Taxonomy2080P0208X
Provider Legal NameDR. EDMUND ALFRED MILDERCredential: M.D.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address3020 Childrens Way # Mc5003San Diego, CA 92123-4223 · (858) 309-6300
Phone(619) 532-6474
Fax(619) 532-7478
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 6, 2006
Last NPPES UpdateDecember 17, 2021
NPPES CertifiedFebruary 25, 2021
✔ NPI 1760460026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians
Taxonomy Code2080P0208X
License✔ Licensed in CA · C175758
Definition
A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.
Also ListedPediatricsTaxonomy 208000000X · License C175758 (CA), 01055096A (IN)
34800 BOB WILSON DR, San Diego, CA 92134
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Secondary Practice Location 1

Location 13030 Childrens WaySan Diego, CA 92123-4232 · Phone (858) 966-7785

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edmund Alfred Milder M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779977632
PECOS Enrollment IDI20220218001972
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 Edmund Milder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rady Children's Hospital San Diego
4.8 mi
Pediatrics
3020 CHILDRENS WAY
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 562 clinicians in this Medicare group
NPI 1669617197 (858) 966-5911

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

Other Providers at the Same Location NPPES 20

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

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
JANELLE MARIE MARRA DO
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Edmund Milder's NPI number?

The NPI number for Edmund Milder is 1760460026. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Edmund Milder located?

Edmund Milder practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6474.

What is Edmund Milder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Is Edmund Milder enrolled in Medicare?

Yes. Edmund Milder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Edmund Milder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Milder reassigns Medicare benefits to Rady Children's Hospital San Diego (San Diego, 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 Edmund Milder'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 Edmund Milder was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.