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

MS. Ebony Miller, PA-C

Individual provider Physician Assistant · NPI 1093371759

MS. Ebony Miller, PA-C is a Physician Assistant in Riverside, California. Qualified in 2018, 8 years ago. Practices with Pacific Dermatology Institute, a 32-clinician group and accepts Medicare assignment. Licensed in California, Indiana and Texas.

Years since qualifying
8
Licensed in
CA, IN, TX
In the registry since
2019
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9041 Magnolia Ave Ste 206
Riverside, CA 92503-3956
Phone: (951) 354-2220
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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 56608 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 10002711A (IN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10002711A (IN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA15641 (TX)

Record details

NPI number1093371759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 17, 2019
Last updated in NPPESDecember 27, 2023
Certification dateDecember 27, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pacific Dermatology Institute — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Riverside