MICHAEL KOMIN MD MEDICAL CORPORTION (NPI# 1164696449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164696449 |
| Entity Type | Organization |
| Organization Name | MICHAEL KOMIN MD MEDICAL CORPORTION |
| Practice Address |
1150 E Lerdo Hwy #c Shafter CA 93263 |
| Practice Telephone | 6616305890 |
| Practice Fax Number | 6616305890 |
| Mailing Telephone | 6616305890 |
| Mailing Fax Number | 6616305890 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2011-06-15 |
| Authorized Official Name | DR. MICHAEL L KOMIN (DOCTOR) |
| Authorized Official Telephone | 6616305890 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 00A762140 | CA | Managed Care Organizations |
| Street Address |
1150 E LERDO HWY #C |
| City | SHAFTER |
| State | CA |
| Zip Code | 93263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265958235 | Danessa Thorbrogger | Nurse Practitioner | 565 Kern Street, Shafter, CA 93263 | 2017-08-21 |
| 1376994533 | Shafter Urgent Care | Clinic/Center | 501 Munzer St Ste A, Shafter, CA 93263 | 2016-06-28 |
| 1821442658 | Huy Xuan Dang | Pharmacist | 825 Central Valley Hwy Ste A, Shafter, CA 93263 | 2016-04-18 |
| 1811362908 | Shafter Pediatrics | Pediatrics | 501 Munzer St, Suite C, Shafter, CA 93263 | 2015-12-01 |
| 1174769616 | Parrott Gordon & Associates L.p. | Dentist | 1110 E. Lerdo Highway, 200, Shafter, CA 93263 | 2009-01-06 |
| 1154526176 | Christine M Armstrong | Counselor | 151 Munzes St, Shefter, CA 93263 | 2007-06-19 |
| 1336327154 | Omni Family Health | Clinical Medical Laboratory | 659 S Central Valley Hwy, Shafter, CA 93263 | 2008-02-04 |
| 1477677821 | Joel N Cooper Physical Therapist Inc. | Physical Therapist | 142 E Tulare Ave, Shafter, CA 93263-1834 | 2007-03-19 |
| 1023060571 | Ggnsc Shafter Lp | Skilled Nursing Facility | 140 E Tulare Ave, Shafter, CA 93263-1834 | 2006-05-16 |
| 1427688639 | Shafter Nursing Rehab LLC | Skilled Nursing Facility | 140 E Tulare Ave, Shafter, CA 93263-1834 | 2020-01-16 |
| Find all providers in zip 93263 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578741161 | Robert W. Hagen M.d. Inc. | Preferred Provider Organization | 177 Aviation St, Shafter, CA 93263-4033 | 2008-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154961142 | Hoag Physcian Partners | Preferred Provider Organization | 16148 Sand Canyon Ave Fl 2, Irvine, CA 92618-3700 | 2020-01-08 |
| 1356806525 | Premierone Plus Aco | Preferred Provider Organization | 1210 N Jefferson St Ste D, Anaheim, CA 92807-1630 | 2019-02-01 |
| 1548730450 | Mastour & Fard Dental Corp | Preferred Provider Organization | 587 N. Ventu Park Road., Suite C, Newberry Park, CA 91320 | 2018-12-04 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1184100471 | Care Allies Ipa, Inc | Preferred Provider Organization | 1211 W La Palma Ave Ste 309, Anaheim, CA 92801-2811 | 2018-07-19 |
| 1245723071 | Pacific Associates Medical Group, Inc. | Preferred Provider Organization | 9900 Lakewood Blvd Ste 103, Downey, CA 90240-4039 | 2018-06-06 |
| 1821585266 | Anthony Nguyen Dds Inc | Preferred Provider Organization | 1125 E 17th St Ste N156, Santa Ana, CA 92701-2215 | 2018-04-20 |
| 1275038051 | Ryan Lange D.m.d. Inc. | Preferred Provider Organization | 17897 Macarthur Blvd Ste 100, Irvine, CA 92614-0532 | 2018-03-26 |
| 1649798190 | Freedom Physicians Corporation | Preferred Provider Organization | 2295 Huntington Dr., Ste. D, San Marino, CA 91108 | 2017-09-05 |
| 1952835282 | Dr. Jose Flores D.d.s Inc. | Preferred Provider Organization | 11510 Downey Ave, Downey, CA 90241 | 2017-04-13 |
| Find all providers with the same taxonomy | ||||
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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.