MR. MARK IAN MILLER
NPI 1790044428
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Mark Miller's NPI number?

The NPI number for Mark Miller is 1790044428. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Q: What is Mark Miller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Miller was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since May 15, 2012PECOS Enrolled

843 S SIERRA BONITA AVE, LOS ANGELES, CA 90036(626) 394-9334 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Mark Ian Miller NPPES

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

MR. MARK IAN MILLER (NPI 1790044428) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790044428

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. MARK IAN MILLER

Location Address843 S SIERRA BONITA AVELos Angeles, CA 90036-4703

Mailing Address843 S. Sierra Bonita Ave.Los Angeles, CA 90036 · (626) 394-9334

Phone(626) 394-9334

Sole ProprietorNo

Enumeration DateMay 15, 2012

✔ NPI 1790044428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

843 S SIERRA BONITA AVE, Los Angeles, CA 90036

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Mark Ian Miller is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Mark Miller's NPI number?

The NPI number for Mark Miller is 1790044428. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Mark Miller located?

Mark Miller practices at 843 S Sierra Bonita Ave, Los Angeles, CA 90036. The listed phone number is (626) 394-9334.

What is Mark Miller's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mark Miller enrolled in Medicare?

Yes. Mark Miller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mark Miller was last updated on May 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.