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

Jared Miller, RADT

Individual provider Peer Specialist · NPI 1205556362

Jared Miller, RADT is a Peer Specialist in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
Specialties on file
2

Practice location Address checks out

31764 Casino Dr # 200
Lake Elsinore, CA 92530-2312
Phone: (951) 471-4649
Fax: (951) 471-4687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence MPSS-QYTVPJ (CA)
Peer Specialist Taxonomy 175T00000X · Licence R1476710722 (CA)

Record details

NPI number1205556362
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorYes
NPI enumeratedAugust 30, 2022
Last updated in NPPESMay 13, 2024
Certification dateNovember 14, 2023
Mailing address5870 Arlington Ave, Riverside, CA 92504-2037

Other providers in Lake Elsinore