Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093371759 Individual Practitioner Female Practitioner

Ebony Miller , PA-C

Physician Assistant • Riverside, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ebony Miller, PA-C is a certified Physician Assistant practicing in Riverside, CA. With approximately 8 years of clinical experience since completing medical education in 2018, Ebony Miller delivers high-quality medical care to the local community at 9041 MAGNOLIA AVE STE 206.

Ebony Miller is affiliated with Pacific Dermatology Institute and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

9041 Magnolia Ave Ste 206

Riverside, CA 925033956

Telephone 9513542220

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Riverside, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -6.5 yrs vs City Avg
City Avg: 14.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
166 Specialists

Practicing in Riverside, CA (14617 Statewide)

Telehealth Adoption Rate
6.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Miller (8 Years) 8 Yrs
Riverside Specialty Average (14.5 Years) 14.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-12-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 56608

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License IN 10002711A

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IN 10002711A

Definition to come...

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License TX PA15641

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID California License
56608 (CA)
Commercial Insurance / Payer ID Indiana License Number
10002711A (IN)
Commercial Insurance / Payer ID Texas License
PA15641 (TX)

Hospital & Practice Group Affiliations

Pacific Dermatology Institute

930 E Foothill Blvd, Upland, CA 917864051

Phone: 9096087546

Pacific Dermatology Institute

255 Terracina Blvd, Redlands, CA 923734870

Phone: 9097932323

Pacific Dermatology Institute

9041 Magnolia Ave, Riverside, CA 925033956

Phone: 9513542220

Pacific Dermatology Institute

770 Magnolia Ave, Corona, CA 928793121

Phone: 9513542220

Practice Associates & Co-Workers

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

4 Associated Practitioners
Colleen Jewess , PA-C

Physician Assistant

NPI 1013591890

Physician Assistant (Certified)

NPI 1548368749

Doctor of Medicine (M.D.)

Ray Lin

Physician Assistant - Medical

NPI 1649693540
Jennifer Lucatero , PA-C

Physician Assistant

NPI 1659808376

Physician Assistant (Certified)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location December 27, 2023

Registered at 9041 MAGNOLIA AVE STE 206, RIVERSIDE, CA 925033956 (Tel: 9513542220)

📍
Updated Business Mailing Address December 27, 2023

Registered at 101 E REDLANDS BLVD STE 284, REDLANDS, CA 923734721 (Tel: 9093127380)

📍
Updated Practice Location February 07, 2023

Registered at 1601 TRINITY ST BLDG 704D, AUSTIN, TX 787121765 (Tel: 5123248320)

📍
Updated Business Mailing Address February 07, 2023

Registered at 1601 TRINITY ST BLDG STE 704D, AUSTIN, TX 787121765 (Tel: 5123248320)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2023

Physician Assistant (License #56608 in CA)

📍
Updated Practice Location April 21, 2021

Registered at 12188A N MERIDIAN ST STE 375, CARMEL, IN 460324433 (Tel: 3179261056)

📍
Updated Business Mailing Address April 21, 2021

Registered at 12188A N MERIDIAN ST STE 375, CARMEL, IN 460324433 (Tel: 3179261056)

📍
Updated Practice Location September 05, 2019

Registered at 8333 NAAB RD STE 301, INDIANAPOLIS, IN 462601983 (Tel: 3173388014)

📍
Updated Business Mailing Address September 05, 2019

Registered at 8333 NAAB RD STE 301, INDIANAPOLIS, IN 462601983 (Tel: 3173888014)

NPI Profile Active May 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2019

Registered at 2727 E 86TH ST APT 306, INDIANAPOLIS, IN 462404479 (Tel: 5402468978)

📍
Updated Business Mailing Address May 17, 2019

Registered at 2727 E 86TH ST APT 306, INDIANAPOLIS, IN 462404479 (Tel: 5402468978)

👤
Provider Name / Credentials Updated May 17, 2019

Recorded as EBONY MILLER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Physician Assistant (License #10002711A in IN)

🟢
Initial NPI Registration & Enumeration May 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Ebony Miller. Be the first to share your experience!

Sign in to leave a review for Ebony Miller

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1093371759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2019
Last Update: December 27, 2023
Sole Proprietor: No

Mailing Address

101 E Redlands Blvd Ste 284

Redlands, CA 923734721

Phone: 9093127380

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.