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

Rutha Mae Miller

Individual provider Physician Assistant · NPI 1851006431

Rutha Mae Miller is a Physician Assistant in Van Nuys, California. Qualified in 2023, 3 years ago. Practices with Daniel Ghiyam MD Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

14614 Victory Blvd
Van Nuys, CA 91411-1621
Phone: (747) 264-1212
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1851006431
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 18, 2023
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026
Mailing address14614 Victory Blvd, Van Nuys, CA 91411-1621

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Daniel Ghiyam Md Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Van Nuys