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

Graciela Miller, PAC

Individual provider Physician Assistant · NPI 1790841435

Graciela Miller, PAC is a Physician Assistant in Covina, California. Qualified in 2006, 20 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California and Utah.

Years since qualifying
20
Licensed in
CA, UT
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

420 W Rowland St
Covina, CA 91723-2943
Phone: (626) 331-6411
Fax: (626) 251-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA20400 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 63709531206 (UT)

Record details

NPI number1790841435
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address602 N Euclid Ave, Ontario, CA 91762-3224

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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