| Jibran Miller, DNP-C | |
|
949 Palm Ave, Imperial Beach, CA 91932-1503 | |
| (619) 429-3733 | |
| Not Available |
| Full Name | Jibran Miller |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 949 Palm Ave, Imperial Beach, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629790423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 95036629 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sunrise Hospital And Medical Center | Las vegas, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nevada Burn And Reconstruction Coates Ltd | 4789044926 | 6 |
| Farschad Birdjandi Md Inc | 1052655628 | 8 |
| Entity Name | Serenity Family Practice Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598220998 PECOS PAC ID: 0345587044 Enrollment ID: O20190201001826 |
| Mailing Address | Practice Location Address |
|---|---|
| Jibran Miller, DNP-C 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733 | Jibran Miller, DNP-C 949 Palm Ave, Imperial Beach, CA 91932-1503 Ph: (619) 429-3733 |
Paris Kantas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 | |
Ms. Stephanie Cunningham, DNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Heather Ann Roberts Calzada, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Lisa George, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 705 Palm Ave, Imperial Beach, CA 91932 Phone: 619-424-5106 Fax: 619-424-3648 | |
Francesca Floyd, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 949 Palm Ave, Imperial Beach, CA 91932 Phone: 619-429-3733 | |
Michael David Winstead, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1271 California St, Imperial Beach, CA 91932 Phone: 703-627-0770 |