Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED MILLER, RADT
Active Sole ProprietorJARED MILLER, RADT is a Community Health Worker healthcare provider located in LAKE ELSINORE, California. NPI 1205556362 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LAKE ELSINORE, CA
Registration Details
- NPI Number
- 1205556362
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2022 (3.7727686399434 yrs)
- Last Updated
- May 13, 2024
- Licenses
-
R1476710722 (CA)MPSS-QYTVPJ (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
31764 CASINO DR # 200LAKE ELSINORE, CA, 925302312Browse CA providers · Browse ZIP 92530
- Phone
- 9514714649
- Fax
- 9514714687
- Primary Specialty
-
Community Health Worker
172V00000X
- Additional Specialty
- Community Health Worker
Other Community Health Worker Providers in LAKE ELSINORE, CA
| Name | Credential | NPI |
|---|---|---|
| MICHELLE JUANENGO | — | 1558046151 |
| LA'SHANAE ANNETTE MASON | — | 1265219950 |
| JEANNA MARIE OGLE | — | 1710741822 |
| AMANDA ARIEL SALGADO | — | 1588429989 |
| ANTONI A MIRANDA | CHW | 1013775766 |
| JESSICA KENNEDY | — | 1083467856 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.