| Brian P. Miller, M.d., A Professional Corporation | |
|
5555 Grossmont Center Dr Dept Of Behav Health La Mesa CA 91942-3019 | |
| (619) 740-4800 | |
| Not Available |
| Full Name | Brian P. Miller, M.d., A Professional Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Authorized Official Name and Position | Brian Miller (OWNER) |
| Authorized Official Contact | 8584422434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian P. Miller, M.d., A Professional Corporation Po Box 511522 Los Angeles CA 90051-8077 Ph: () - | Brian P. Miller, M.d., A Professional Corporation 5555 Grossmont Center Dr Dept Of Behav Health La Mesa CA 91942-3019 Ph: (619) 740-4800 |
| NPI Number | 1295089571 |
|---|---|
| Provider Enumeration Date | 11/07/2012 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Medicare PECOS PAC ID | 5597902437 |
|---|---|
| Medicare Enrollment ID | O20130513000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295089571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | A68180 (California) | Secondary |
| Provider Name | Brian P Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861411381 PECOS PAC ID: 1658441480 Enrollment ID: I20080604000748 |
| Provider Name | Elizabeth H Riley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134523913 PECOS PAC ID: 9830412733 Enrollment ID: I20190710000896 |
| Provider Name | David Lindley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902275068 PECOS PAC ID: 6103243316 Enrollment ID: I20200902003144 |
| Provider Name | Justin M Cantley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568062552 PECOS PAC ID: 9133531528 Enrollment ID: I20201208002558 |
| Provider Name | Angela Goodyear Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598410946 PECOS PAC ID: 7517352701 Enrollment ID: I20220325000983 |
| Provider Name | Emily Suzanne Econie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295327112 PECOS PAC ID: 5294122743 Enrollment ID: I20220502000310 |
| Provider Name | Noorsaba Bahramzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992270698 PECOS PAC ID: 5092102426 Enrollment ID: I20220503001420 |
| Provider Name | Brandon August Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518690205 PECOS PAC ID: 4688050891 Enrollment ID: I20220926001331 |
| Provider Name | Keynan Hobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346529823 PECOS PAC ID: 3678859253 Enrollment ID: I20221004000246 |
| Provider Name | Massooda Paband |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417619818 PECOS PAC ID: 9133596950 Enrollment ID: I20221108003115 |
| Provider Name | Dafne Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770921587 PECOS PAC ID: 7719341205 Enrollment ID: I20230918000907 |
| Provider Name | April Julia Brewster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013530039 PECOS PAC ID: 1759776479 Enrollment ID: I20231128003603 |
Not Applicable Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 Parkway Dr, La Mesa, CA 91942 Phone: 619-291-6040 Fax: 858-453-6149 | |
La Mesa Counseing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8058 La Mesa Blvd, La Mesa, CA 91942 Phone: 858-848-1766 | |
Mobile Neurology Of San Diego Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8851 Center Dr, Suite 603, La Mesa, CA 91942 Phone: 619-667-4545 | |
A New Path Psychotherapy, Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4323 Palm Ave Ste A, La Mesa, CA 91941 Phone: 619-315-8909 | |
Open Mind Mental Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5241 Alzeda Dr, La Mesa, CA 91941 Phone: 619-940-0042 | |
Counseling & Behavioral Specialists, Afcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9029 Park Plaza Dr, Suite #101, La Mesa, CA 91942 Phone: 619-697-0470 Fax: 619-697-0505 | |
Listening Post Counseling And Consulting Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8900 Grossmont Blvd # 4-3, La Mesa, CA 91941 Phone: 858-380-7691 |