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Deactivated NPI 1528001807 Deactivated / Inactive NPI Male Practitioner

Dr. Larry Miller , MD

Pediatrics • Fresno, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Larry Miller has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2006
NPI Deactivation Date September 13, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Miller, MD was a registered Pediatrics practicing in Fresno, CA. Throughout an active medical career spanning 17 years, Dr. Miller provided care at the practice location at 4770 W HERNDON AVE until profile deactivation on 2023-09-13.

Practice Location & Contact Primary Location

Practice Address

4770 W Herndon Ave

Fresno, CA 937228402

Telephone 5592716365
Fax 5592716326
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
163 Specialists

Practicing in Fresno, CA (9612 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA G22098

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Dr. Martin Wenthe , MD

Family Medicine

NPI 1063453827

Doctor of Medicine (M.D.)

Dr. Roman Malley , MD

Internal Medicine

NPI 1083655443

Doctor of Medicine (M.D.)

Dr. Kimpreet Aulakh , MD

Internal Medicine

NPI 1104121524

Doctor of Medicine (M.D.)

Evelyn Roldan , FNP

Nurse Practitioner - Family

NPI 1134323439

Family Nurse Practitioner

Dr. Shelly Kruse , MD

Internal Medicine

NPI 1134329501

Doctor of Medicine (M.D.)

NPI 1184665564

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 13, 2023

Record deactivated on September 13, 2023

NPI Profile Active October 19, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 19, 2009

Registered at 4770 W HERNDON AVE, FRESNO, CA 937228402 (Tel: 5592716365)

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Updated Business Mailing Address October 19, 2009

Registered at 4770 W HERNDON AVE, FRESNO, CA 937228402 (Tel: 5592716365)

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Provider Name / Credentials Updated October 19, 2009

Recorded as LARRY MILLER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2009

Pediatrics (License #G22098 in CA)

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Initial NPI Registration & Enumeration June 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528001807
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: October 19, 2009
Deactivation Date: September 13, 2023

Mailing Address

4770 W Herndon Ave

Fresno, CA 937228402

Phone: 5592716365

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.