MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP
NPI 1659392330
Family Medicine in Agoura Hills, CA

NPI Status: Active since July 21, 2006

Contact Information

28240 AGOURA RD
SUITE102
AGOURA HILLS, CA
ZIP 91301
Phone: (818) 706-9690
Fax: (818) 706-9692

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  • Organization
  • Family Medicine
  • CLIA Number: 05D0955905
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-02-2026

About MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP

This page provides the complete NPI Profile along with additional information for Miller Medical & Wellness Clinic A Professional Medical Corp, a primary care provider established in Agoura Hills, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1659392330 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number A54820 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. David Roy Miller M.d. (Ceo)

NPI
1659392330
Provider Name
MILLER MEDICAL & WELLNESS CLINIC A PROFESSIONAL MEDICAL CORP
Entity Type
Organization
Location Address
28240 AGOURA RD SUITE102 AGOURA HILLS, CA 91301
Location Phone
(818) 706-9690
Location Fax
(818) 706-9692
Mailing Address
28240 AGOURA RD SUITE102 AGOURA HILLS, CA 91301
Mailing Phone
(818) 706-9690
Mailing Fax
(818) 706-9692
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-21-2006
Last Update Date
02-18-2020
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A primary care provider (PCP) like Miller Medical & Wellness Clinic A Professional Medical Corp sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
A54820
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID ROY MILLER M.D.

Authorized Official Title
CEO
Authorized Official Phone
(818) 706-9690

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0955905
Facility Type
Physician Office
Certificate Effective Date
November 03, 2024
Certificate Expiration Date
November 02, 2026
Laboratory Director
DAVID R. MILLER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Miller Medical & Wellness Clinic A Professional Medical Corp in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1659392330
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2610969436
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 0 + 9 + 6 + 9 + 4 + 3 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1659392330 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770521312 RUBY C SIMPKINS MD
Individual
Internal Medicine28240 AGOURA RD SUITE 201
AGOURA HILLS, CA 91301
(818) 991-9800
1093994113LORIE S. ROBINSON
Organization
Podiatrist (Foot & Ankle Surgery)28240 AGOURA RD SUITE101
AGOURA HILLS, CA 91301
(818) 991-6337
1043427420MRS. TANA MARIE RICHTER P.A.-C
Individual
Physician Assistant28240 AGOURA RD SUITE #102
AGOURA HILLS, CA 91301
(818) 706-9690
1942741475GEORGE A. CAVE, PH.D., A PSYCHOLOGICAL CORPORATION
Organization
Psychologist28240 AGOURA RD SUITE 101
AGOURA HILLS, CA 91301
(805) 573-8920
1730406471 LESLIE SPERO LCSW
Individual
Social Worker (Clinical)28240 AGOURA RD SUITE 304
AGOURA, CA 91301
(818) 571-3894
1912958257DR. DAVID ROY MILLER M.D.
Individual
Family Medicine28240 AGOURA RD SUITE 102
AGOURA HILLS, CA 91301
(818) 706-9690

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659392330, enumerated in the NPI registry as an "organization" on July 21, 2006

The provider is located at 28240 Agoura Rd Suite102 Agoura Hills, Ca 91301 and the phone number is (818) 706-9690

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 05D0955905 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on July 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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