DUSTIN LOU MILLER (NPI# 1548801525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548801525 |
| Entity Type | Individual |
| Full Name | DUSTIN LOU MILLER |
| Practice Address |
1481 Windsor Dr San Bernardino CA 92404-5416 |
| Mailing Address |
17847 Pine Ave Fontana CA 92335-7300 |
| Practice Telephone | 9093616472 |
| Practice Fax Number | 9092037403 |
| Mailing Telephone | 7143632355 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790235000 | Dustin Joseph Miller | Nurse Practitioner | 414 Saizon St, Port Barre, LA 70577 | 2016-10-11 |
| 1225440274 | Dustin Miller | Pediatrics | 1455 Farr Rd, Norton Shores, MI 49444-9738 | 2014-05-27 |
| 1205452679 | Dustin Miller | Student in an Organized Health Care Education/Training Program | 1000 W Carson St # 488, Torrance, CA 90502-2059 | 2020-06-22 |
| 1689294142 | Dustin Miller | Student in an Organized Health Care Education/Training Program | 1600 Medical Center Dr, Huntington, WV 25701-3656 | 2020-04-24 |
| 1053943720 | Dustin John Andrew Miller | Physical Therapist | 426 N Imperial Ave, El Centro, CA 92243-2329 | 2020-02-10 |
| 1205494325 | Dustin Richard Miller | Case Manager/Care Coordinator | 112 S 3rd St, Newark, OH 43055-5335 | 2019-06-04 |
| 1912481094 | Dustin Reed Miller | Student in an Organized Health Care Education/Training Program | 1600 E Olive St, Seattle, WA 98122-2735 | 2018-09-24 |
| 1780185652 | Dustin Douglas Miller | Chiropractor | 401 Center Ave Ste 200, Bay City, MI 48708-5904 | 2018-02-26 |
| 1972730034 | Dustin C Miller | Family Medicine | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2009-06-16 |
| 1134369515 | Dustin Shane Miller | Counselor | 1914 22nd St, Sacramento, CA 95816-7109 | 2009-02-25 |
| Street Address |
1481 WINDSOR DR |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92404-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104950310 | Heather Rene Brown | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2007-03-16 |
| 1578170650 | Nancy Elizabeth Ashcraft | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-09-23 |
| 1598370918 | Jesse Daniel Rodriguez | Case Manager/Care Coordinator | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-09-11 |
| 1619589140 | Michelle Eileen Koperski | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-08-17 |
| 1508480583 | Richard Anthony Delarosa | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-04 |
| 1255955324 | Brenda A Aguayo | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-03 |
| 1053935353 | Divina Elise Perez | Counselor | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-06-02 |
| 1538782917 | Rochelle Renee Knight | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-05-20 |
| 1609497098 | Martin E Torres | Licensed Vocational Nurse | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-04-27 |
| 1508493495 | Ebony Rene Venable | Licensed Psychiatric Technician | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740849363 | Danniella Alexandra Murillo | Physician Assistant | 2101 North Waterman Ave, San Bernardino, CA 92404 | 2019-06-07 |
| 1902377484 | Shauntel Renee Nelson | Student in an Organized Health Care Education/Training Program | 1481 N. Windsor Dr., San Bernardino, CA 92404 | 2018-12-10 |
| 1487123584 | Garrett M Grigg | Licensed Psychiatric Technician | 1481 N Windsor Dr, San Bernardino, CA 92404 | 2018-11-19 |
| 1881163434 | James Dean Anders | Counselor | 1481 Windsor Drive, San Bernardino, CA 92404 | 2018-11-13 |
| 1043703564 | Samantha Makpaiboonvatana | Optometrist | 1909 N Waterman Ave Ste 3, San Bernardino, CA 92404 | 2018-06-09 |
| 1861981623 | Christopher Windham | Behavior Technician | 2460 Fremontia Dr, San Bernardino, CA 92404 | 2018-05-08 |
| 1891145041 | Cynthia Lusy Gastelum | Marriage & Family Therapist | 1885 E Lynwood Dr Rm Se3, San Bernardino, CA 92404 | 2016-06-20 |
| 1336598259 | Foundation Enterprises LLC | Non-emergency Medical Transport (VAN) | 1663 Date Pl., #30390, San Bernardino, CA 92404 | 2016-06-10 |
| 1881042877 | Helen Ann Thompson | Speech-Language Pathologist | 1311 E. State St., San Bernardo, CA 92404 | 2016-05-31 |
| 1366839938 | Lanecia Richardson | Counselor | 135 Paul Drive, San Rafeal, CA 92404 | 2015-04-22 |
| Find all providers in zip 92404 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437783180 | Samuel Guadron Rosales | Peer Specialist | 658 E Brier Dr Ste 250, San Bernardino, CA 92408-2875 | 2020-03-02 |
| 1518502301 | Georgina Centeno | Peer Specialist | 780 Esat Gilbert St, San Bernardino, CA 92415-0001 | 2019-11-15 |
| 1063920973 | Arneta Brown | Peer Specialist | 658 E Brier Dr, San Bernardino, CA 92415-0928 | 2018-01-12 |
| 1619589140 | Michelle Eileen Koperski | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2020-08-17 |
| 1518598879 | Denise Ybarra | Peer Specialist | 104 W 4th St, San Bernardino, CA 92415-0035 | 2020-01-27 |
| 1649818055 | Sidney Untal Suarez Jr. | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-0928 | 2019-12-16 |
| 1912543760 | Elsie Renee Rollins | Peer Specialist | 1481 Windsor Dr, San Bernardino, CA 92404-5416 | 2019-11-26 |
| 1841836145 | Noe Zepeda | Peer Specialist | 351 N Mt View Ave, San Bernardino, CA 92415-0001 | 2019-11-21 |
| 1265077341 | Demario O'ryan Dunn | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| 1740825827 | Cristina Guerra | Peer Specialist | 820 E Gilbert St, San Bernardino, CA 92415-1403 | 2019-11-12 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.