MICHAEL P DEMICCO (NPI# 1154327898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154327898 |
| Entity Type | Individual |
| Full Name | MICHAEL P DEMICCO |
| Credential | M.D. |
| Practice Address |
1211 W La Palma Ave Ste 306 Anaheim CA 92801-2811 |
| Practice Telephone | 7147781300 |
| Practice Fax Number | 7147780303 |
| Mailing Telephone | 7147781300 |
| Mailing Fax Number | 7147780303 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | G31411 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ83646Z | 05 |
| Street Address |
1211 W LA PALMA AVE STE 306 |
| City | ANAHEIM |
| State | CA |
| Zip Code | 92801-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124024104 | Manilal B Mehta | Urology | 1211 W La Palma Ave, Ste 502, Anaheim, CA 92801-2812 | 2005-06-23 |
| 1972155430 | Marie Anna Salazar | Nurse Practitioner | 1211 W La Palma Ave, Anaheim, CA 92801-2815 | 2019-07-15 |
| 1376041129 | Abigail Ayad Makary | Nurse Practitioner | 1211 W La Palma Ave, Anaheim, CA 92801-2815 | 2018-01-26 |
| 1982153037 | Theresa Lynn Simmons | Nurse Practitioner | 1211 W La Palma Ave, 207, Anaheim, CA 92801-2815 | 2016-09-30 |
| 1548638596 | Iv for Life | Clinic/Center | 1211 W La Palma Ave, Suite 309, Anaheim, CA 92801-2815 | 2015-09-08 |
| 1801287156 | David Holstein, Md, Inc | Psychiatry & Neurology | 1211 W La Palma Ave, Suite 608, Anaheim, CA 92801-2815 | 2015-02-09 |
| 1770996076 | Hiwot Watiro | Nurse Practitioner | 1211 W La Palma Ave, Suite 702, Anaheim, CA 92801-2815 | 2014-06-04 |
| 1245654433 | Gurleen Jamarai M.d Inc | Internal Medicine | 1211 W La Palma Ave, Suite 503, Anaheim, CA 92801-2815 | 2014-02-10 |
| 1689019127 | Celyne Thao Phung | Internal Medicine | 1211 W La Palma Ave, Suite 207, Anaheim, CA 92801-2810 | 2013-05-09 |
| 1760721310 | Khemka and Khemka M.d., Inc. | Internal Medicine | 1211 W La Palma Ave, Suite 410, Anaheim, CA 92801-2863 | 2013-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178996 | Megalink Staffing Services Corp. | Non-emergency Medical Transport (VAN) | 780 N. Euclid St., Suite 207, Anaheim, CA 92801 | 2020-03-04 |
| 1669988630 | Munoz Urgent Care Inc. | Clinic/Center | 1741 W Romneya Dr., Suite A, Anaheim, CA 92801 | 2017-12-28 |
| 1922523257 | Enrique Esparza Jr. | Peer Specialist | 501 North Brookhurst Street, Anahiem, CA 92801 | 2017-08-08 |
| 1336689405 | Lan P. Tran | Pharmacist | 2308 W Huntington Ave, Anaheim, CA 92801 | 2017-03-08 |
| 1982065447 | Giselle Magdaleno | Marriage & Family Therapist | 505 N Euclid St #300, Anaheim, CA 92801 | 2016-03-11 |
| 1346605433 | Esther Chong | Nurse Practitioner | 710 N. Euclid St., 400, Anaheim, CA 92801 | 2015-12-16 |
| 1629441183 | Caremore Health Plan | Nurse Practitioner | 1182 N. Euclid Street, Anaheim, CA 92801 | 2015-11-05 |
| 1205208451 | Uyen Diem Ngo | Pharmacist | 1188 N. Euclid St., Anaheim, CA 92801 | 2015-10-28 |
| 1962873729 | Herb and Acu | Acupuncturist | 1737 W. Romneya Dr., Anaheim, CA 92801 | 2015-10-19 |
| 1437535721 | Yessenia Alvarado | Marriage & Family Therapist | 505 N. Euclid Street, Suite 300, Anaheim, CA 92801 | 2015-08-10 |
| Find all providers in zip 92801 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841798048 | Brenda Vasquez | Specialist | 3460 E Orangethorpe Ave Ste A, Anaheim, CA 92806-1147 | 2018-01-23 |
| 1700245131 | Bartholomew Decoro | Specialist | 321 S Hillview Rd, Anaheim, CA 92804-2335 | 2016-02-13 |
| 1669844247 | Prime Practice Management LLC | Specialist | 379 S Avenida Margarita, Anaheim, CA 92807-3708 | 2015-10-22 |
| 1316355274 | Don Garcia Md Inc | Specialist | 898 S Harbor Blvd, Anaheim, CA 92805-5158 | 2014-07-23 |
| 1346680642 | Advance Mobile Medical Inc. | Specialist | 2500 E Ball Rd Ste 110, Anaheim, CA 92806-5054 | 2013-07-01 |
| 1407197718 | Anatomical Impairment Medical Group, Inc | Specialist | 2500 E. Ball Road Ste 200, Anaheim, CA 92806 | 2013-03-12 |
| 1124369715 | Orange Park Medical Group, A Professional Corp. | Specialist | 2500 E Ball Rd Ste 200, Anaheim, CA 92806 | 2013-03-07 |
| 1235404799 | Hassan D Juma Ramadhan | Specialist | 9621 Colony St, Anaheim, CA 92804-3475 | 2012-03-16 |
| 1770893182 | Prakash N Shenoy Md Inc | Specialist | 1736 W Medical Center Dr Ste A, Anaheim, CA 92801-1854 | 2010-10-19 |
| 1467782110 | Victor R Alanis | Specialist | 2569 W. Woodland Dr, Anaheim, CA 92801 | 2009-12-31 |
| Find all providers in ANAHEIM | ||||
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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.