Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Millie Jay Surati-Tantod, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063672145

Millie Jay Surati-Tantod, MD is a Family Practice in Huntington Beach, California. Graduated from University of Arkansas College of Medicine in 2003, 23 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
23
Trained at
University of Arkansas College of Medicine
Licensed in
CA, NC
In the registry since
2008
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5355 Warner Ave Ste 102
Huntington Beach, CA 92649-6030
Phone: (714) 477-8450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12291 Washington Blvd, Whittier, CA 90606-2500 — (562) 698-2541

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A132755 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence A132755 (CA)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 2009-01996 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 2009-01996 (NC)

Record details

NPI number1063672145
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 12, 2008
Last updated in NPPESOctober 27, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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