DR. DAVID J MICHELSON (NPI# 1043233737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043233737 |
| Entity Type | Individual |
| Full Name | DR. DAVID J MICHELSON |
| Credential | M.D. |
| Practice Address |
2195 Club Center Dr Ste A San Bernardino CA 92408-4170 |
| Mailing Address |
11175 Campus St Cp A1120f Loma Linda CA 92350-1700 |
| Practice Telephone | 9098351810 |
| Practice Fax Number | 9098351780 |
| Mailing Telephone | 9095588242 |
| Mailing Fax Number | 9095580479 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-11-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
A72008 | CA | Allopathic & Osteopathic Physicians |
| N | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
A72008 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467698035 | David Michelson | Psychiatry & Neurology | 424 Louella Ave, Wayne, PA 19087-4816 | 2009-01-01 |
| 1831411743 | David N Michelson | Specialist | 200 S A St, Oxnard, CA 93030-5717 | 2010-02-18 |
| 1013063437 | David Scott Michelson | Ophthalmology | 9834 Genesee Ave, Suite 200, La Jolla, CA 92037-1223 | 2007-01-26 |
| 1487689576 | David Michelson | Psychologist | 6310 Harford Rd, Baltimore, MD 21214-1315 | 2006-07-11 |
| Street Address |
2195 CLUB CENTER DR STE A |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-4170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962452714 | Faculty Physicians and Surgeons of Llusm | Pediatrics | 2195 Club Center Dr, Suite A-l, San Bernardino, CA 92408-4170 | 2006-05-11 |
| 1750757217 | Leslie M Dedominic | Speech-Language Pathologist | 2195 Club Center Dr, Suite G, San Bernardino, CA 92408-4170 | 2015-08-18 |
| 1134538564 | Michelle Hong | Psychologist | 2195 Club Center Dr, San Bernardino, CA 92408-4170 | 2014-08-11 |
| 1437570926 | Subhadra Ramanathan | Genetic Counselor, MS | 2195 Club Center Dr, Ste A, San Bernardino, CA 92408-4170 | 2013-12-30 |
| 1376825489 | Danielle Dolores Newton | Speech-Language Pathologist | 2195 Club Center Dr, Suite G, San Bernardino, CA 92408-4170 | 2011-09-14 |
| 1417160847 | Maulin Soneji | Internal Medicine | 2195 Club Center Dr, San Bernardino, CA 92408 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558544940 | Katherine Miyoko Kuniyoshi | Pediatrics | 2101 N Waterman Ave, San Bernardino, CA 92404-4836 | 2007-12-09 |
| 1154413425 | Lanny Nizar | Pediatrics | 2101 N Waterman Ave, San Bernardino, CA 92404-4834 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699316695 | Neonatal Hospitalist Group, Inc | Pediatrics | 501 S Buena Vista St Nicu, Burbank, CA 91505-4809 | 2019-10-01 |
| 1619418936 | Natalie Hoi-man Chan | Pediatrics | 2516 Stockton Blvd Fl 2, Sacramento, CA 95817-2208 | 2017-03-20 |
| 1427502186 | George Francis Tidmarsh | Pediatrics | 10182 Telesis Ct, San Diego, CA 92121-4760 | 2016-08-11 |
| 1477904530 | Lida Irene Zeinali | Pediatrics | 2315 Stockton Blvd # 5, Sacramento, CA 95817-2201 | 2016-06-29 |
| 1104214196 | Estrellita Rubio Reyes | Pediatrics | 3908 Beverly Blvd., Los Angeles, CA 90004 | 2014-12-30 |
| 1871921718 | Mirin Hemasilpin | Pediatrics | 22554 Ventura Blvd Ste 117, Woodland Hills, CA 91364-1436 | 2013-10-30 |
| 1588937353 | Jeffrey Joseph Pomerance | Pediatrics | 351 W Northridge Ave, Glendora, CA 91741-2036 | 2012-02-09 |
| 1447549225 | Jimmy Thuan Nguyen | Pediatrics | 5621 W Barbette Ave, Santa Ana, CA 92704-1015 | 2011-04-01 |
| 1699085134 | Rosemary Leake | Pediatrics | 2 Crest Rd W, Rolling Hills, CA 90274-5003 | 2010-10-18 |
| 1811200124 | Katrina Tan Ibonia | Pediatrics | 9300 Valley Childrens Pl # Se21, Madera, CA 93636-8762 | 2010-07-16 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.