RUSSELL JAMES MILES (NPI# 1871828533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871828533 |
| Entity Type | Individual |
| Full Name | RUSSELL JAMES MILES |
| Credential | PA-C |
| Practice Address |
875 Blake Wilbur Drive Palo Alto CA 94305 |
| Mailing Address |
3941 San Dimas St Ste 102 Bakersfield CA 93301-5711 |
| Practice Telephone | 6507246480 |
| Practice Fax Number | 6507247091 |
| Mailing Telephone | 6613246593 |
| Mailing Fax Number | 6613243680 |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA 19738 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
875 BLAKE WILBUR DRIVE |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881112381 | Natalia Dematteo | Nurse Practitioner | 875 Blake Wilbur Drive, Palo Alto, CA 94303 | 2017-09-05 |
| 1427493998 | John Baird | Internal Medicine | 875 Blake Wilbur Drive, Stanford Cancer Center, Palo Alto, CA 94305 | 2013-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366497331 | Gunars Bite | Physician Assistant | 3821 Ross Rd, Palo Alto, CA 94303-4523 | 2006-05-24 |
| 1689275059 | Colin Elie | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2020-11-03 |
| 1164939930 | Edward Andy Nguyen | Physician Assistant | 750 Welch Rd Ste 319, Palo Alto, CA 94304-1510 | 2018-01-03 |
| 1285147454 | Eric Hong | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2017-11-09 |
| 1942659610 | Geovanna Suarez | Physician Assistant | 780 Welch Rd, Palo Alto, CA 94304-1516 | 2016-06-03 |
| 1306282496 | Sunaina Ganesh | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2013-05-15 |
| 1043560972 | Julia Constance Bertozzi | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2012-09-18 |
| 1760765846 | Chad Pope | Physician Assistant | 750 Welch Rd, Suite 319, Palo Alto, CA 94304-1507 | 2011-09-24 |
| 1760783286 | Katie Felix | Physician Assistant | 725 Welch Rd, Palo Alto, CA 94304-1601 | 2010-11-15 |
| 1659681278 | Vadim I Bederov | Physician Assistant | 795 El Camino Real, Palo Alto, CA 94301 | 2010-10-16 |
| Find all providers in PALO ALTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.