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

Jibran Miller, DNP-C

Individual provider Family Nurse Practitioner · NPI 1629790423

Jibran Miller, DNP-C is a Nurse Practitioner in Imperial Beach, California. Qualified in 2021, 5 years ago. Practices with Nevada Burn and Reconstruction Coates Ltd, an 8-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022

Practice location Address checks out

949 Palm Ave
Imperial Beach, CA 91932-1503
Phone: (619) 429-3733
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95036629 (CA)

Record details

NPI number1629790423
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP-C
Sole proprietorYes
NPI enumeratedSeptember 19, 2022
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address949 Palm Ave, Imperial Beach, CA 91932-1503

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nevada Burn And Reconstruction Coates Ltd — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Imperial Beach