Healthcare Provider Details

I. General information

NPI: 1124778113
Provider Name (Legal Business Name): EMMA MILLER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TRANCAS ST STE 270
NAPA CA
94558-2921
US

IV. Provider business mailing address

5841 JAMESON CT
CARMICHAEL CA
95608-0895
US

V. Phone/Fax

Practice location:
  • Phone: 707-252-1076
  • Fax: 707-252-7923
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A24248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: