Healthcare Provider Details

I. General information

NPI: 1235294984
Provider Name (Legal Business Name): HOWARD JONATHAN MILLER M.D, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4825 PAINT HORSE TRL
SANTA MARIA CA
93455-6061
US

IV. Provider business mailing address

4825 PAINT HORSE TRL
SANTA MARIA CA
93455-6061
US

V. Phone/Fax

Practice location:
  • Phone: 805-804-5463
  • Fax: 805-830-5163
Mailing address:
  • Phone: 805-804-5463
  • Fax: 805-830-5163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberA43723
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License NumberA43723
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: