DR. GLENN EDWARD MILLER (NPI# 1902108764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902108764 |
| Entity Type | Individual |
| Full Name | DR. GLENN EDWARD MILLER |
| Credential | M.D. |
| Practice Address |
1431 Ocean Avenue #720 Santa Monica CA 90401-2148 |
| Practice Telephone | 3109636433 |
| Practice Fax Number | 3102607976 |
| Mailing Telephone | 3109636433 |
| Mailing Fax Number | 3102607976 |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2012-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | G 29077 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | G20977 | G20977 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457815219 | Glenn K Miller | Massage Therapist | 231 S Washington Ave, Newport, WA 99156-9670 | 2019-01-25 |
| 1780991000 | Glenn R Miller | Chiropractor | 2901 Druid Park Dr Ste 106, Ashburton Chiropractic, Baltimore, MD 21215-8172 | 2010-09-08 |
| 1487820163 | Glenn Miller Jr. | Family Medicine | 700 Fayette St, Conshohocken, PA 19428-1701 | 2008-05-02 |
| 1760676043 | Glenn Miller | Technician/Technologist | 845 Columbia Ave, Suite A, Lancaster, PA 17603-3224 | 2007-08-30 |
| 1871786079 | Glenn Howard Miller | Psychiatry & Neurology | 8213 Tomlinson Ave, Bethesda, MD 20817-4413 | 2007-08-21 |
| 1841410974 | Glenn Paul Miller | Dentist | 11550 Philadelphia Road Suite #118, Whitemarsh, MD 21162 | 2007-04-30 |
| 1265650196 | Glenn Elliott Miller | Psychiatry & Neurology | 629 State St Ste 245, Santa Barbara, CA 93101-7074 | 2007-04-23 |
| 1922198118 | Glenn A Miller | Oral & Maxillofacial Surgery | 10200 West Main Street, Signal Hill Medical Building, Belleville, IL 62223-1495 | 2006-10-16 |
| 1265456602 | Glenn R Miller | Podiatrist | 7101 S Staples St Ste 103, Corpus Christi, TX 78413-5543 | 2006-07-27 |
| 1396907473 | Glenn J. Miller | Dentist | 130 Almshouse Rd, Suite 500, Richboro, PA 18954-1100 | 2008-06-30 |
| Street Address |
1431 OCEAN AVENUE #720 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401-2148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1154675023 | Sherry Marie Martyn | Psychologist | 1242 3rd Street Promenade Ste 208, Santa Monica, CA 90401 | 2012-10-31 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639548480 | Cs Medical Group Inc | Obstetrics & Gynecology | 530 Wilshire Blvd Ste 202a, Santa Monica, CA 90401-1427 | 2015-09-23 |
| 1679910020 | Holly Mehr | Obstetrics & Gynecology | 1245 16th St Ste 202, Santa Monica, CA 90404-1240 | 2013-05-24 |
| 1760738595 | Shamjaden Amersi, A Medical Incorporation | Obstetrics & Gynecology | 1115 Harvard St, Santa Monica, CA 90403-4709 | 2012-07-30 |
| 1740575950 | Michelle Christina Tsai | Obstetrics & Gynecology | 2001 Santa Monica Blvd Ste 380, Santa Monica, CA 90404-2179 | 2011-06-15 |
| 1588966535 | Maria E. Ottavi Md, Inc. | Obstetrics & Gynecology | 2021 Santa Monica Blvd Ste 240e, Santa Monica, CA 90404-2147 | 2010-11-24 |
| 1952465973 | Banafsheh Bayati, M.d. Inc. | Obstetrics & Gynecology | 1807 Wilshire Blvd Ste C, Santa Monica, CA 90403-5678 | 2006-12-21 |
| 1417058587 | Yvonne Bohn | Obstetrics & Gynecology | 2001 Santa Monica Blvd Ste 970w, Santa Monica, CA 90404-2199 | 2006-09-25 |
| 1477669745 | Banafsheh Bayati | Obstetrics & Gynecology | 1450 10th St Ste 305, Santa Monica, CA 90401-2831 | 2006-08-21 |
| 1053320242 | Angela Yat-sun Nishio | Obstetrics & Gynecology | 1301 20th St Ste 270, Santa Monica, CA 90404-2053 | 2006-08-05 |
| 1518920974 | Zeina Hijazi | Obstetrics & Gynecology | 1745 11th St, Santa Monica, CA 90404-4389 | 2006-04-07 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
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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.