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NPISignal

Individual Healthcare Provider

Millie Jay Surati-Tantod, M.D.

NPI Record: ActiveFamily Medicine
NPI1063672145
Huntington Beach, California

Provider's NPPES record last updated: October 27, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1063672145
Primary Specialty
Family Medicine
Practice Location
Huntington Beach, California
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 3:18 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X
  • Student in an Organized Health Care Education/Training Program

    Student, Health Care

    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

    Taxonomy code 390200000X
  • Otolaryngology

    Allopathic & Osteopathic Physicians

    An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

    Taxonomy code 207Y00000X

Provider-Reported License Information

Family Medicine (California)
A132755
Student in an Organized Health Care Education/Training Program (California)
A132755
Otolaryngology (North Carolina)
2009-01996
Student in an Organized Health Care Education/Training Program (North Carolina)
2009-01996
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

5355 Warner Ave Ste 102

Huntington Beach, California 92649-6030

Phone: (714) 477-8450

Additional Practice Location

12291 Washington Blvd

Suite #500

Whittier, California 90606-2500

Phone: (562) 698-2541

Record Information

Enumeration Date
June 12, 2008
Provider's NPPES Record Last Updated
October 27, 2023
NPISignal NPPES Dataset
August 2026

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