Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacqualin Miller, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1831345644

Dr. Jacqualin Miller, DO is an Obstetrics/Gynecology in Lodi, California. Graduated from Edward via Col of Osteo Medicine-Virginia Campus in 2008, 18 years ago. Practices with P. Gill Obstetrics and Gynecology Medical Group, Inc, a 13-clinician group and accepts Medicare assignment. Licensed in California and Ohio.

Years since qualifying
18
Trained at
Edward via Col of Osteo Medicine-Virginia Campus
Licensed in
CA, OH
In the registry since
2008
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2415 W Vine St Ste 103
Lodi, CA 95242-3731
Phone: (209) 333-3117
Fax: (209) 367-5602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 12148 (CA)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence NOT YET ISSUED (OH)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 20A12148 (CA)

Record details

NPI number1831345644
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 12, 2008
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address2546 Kirsten Ct, Lodi, CA 95240-8883

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolEDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated 2008 (18 years in practice)
Group practice P. Gill Obstetrics And Gynecology Medical Group, Inc. — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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