DR. MICHAEL JOSEPH NIETO


Address: 280 S Main St Ste 200, Orange, CA 92868-3852
Phone: 7146344567

DR. MICHAEL JOSEPH NIETO (NPI# 1861848947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861848947
Entity Type Individual
Full Name DR. MICHAEL JOSEPH NIETO
Credential M.D.
Practice Address 280 S Main St Ste 200
Orange
CA 92868-3852
Mailing Address 8950a (campus Delivery Code) 2450 Riverside Ave
Pediatrics Education Office 1st Floor East Building
Minneapolis
MN 55454
Practice Telephone 7146344567
Mailing Telephone 6126244477
Enumeration Date 2016-05-09
Last Update Date 2020-07-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080S0010X Pediatrics
Specialization: Sports Medicine
A168679 CA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
8950a (campus Delivery Code) 2450 Riverside Ave, Pediatrics Education Office 1st Floor East Building, Minneapolis, MN 55454 6126244477

Office Location

Street Address 280 S MAIN ST STE 200
City ORANGE
State CA
Zip Code 92868-3852

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548263015 Amir M Seifi Physician Assistant 280 S Main St Ste 200, Orange, CA 92868-3852 2005-05-27
1346722741 Christopher Andres Terreros Ugarte Physician Assistant 280 S Main St Ste 200, Orange, CA 92868-3852 2018-08-31
1497274872 Rachel Bagley Nurse Practitioner 280 S Main St Ste 200, Orange, CA 92868-3852 2017-09-16
1992227193 Monica Lynn Toten Nurse Practitioner 280 S Main St Ste 200, Orange, CA 92868-3852 2017-07-10
1811419187 Abraham Farias Radiologic Technologist 280 S Main St Ste 200, Orange, CA 92868 2017-07-08
1326491440 Joshua Duane Phillips Physician Assistant 280 S Main St Ste 200, Orange, CA 92868-3852 2016-07-14
1861841561 Leslie Marie Cardoza Physician Assistant 280 S Main St Ste 200, Orange, CA 92868-3852 2016-06-03
1407203342 Sung Don Lee Physician Assistant 280 S Main St Ste 200, Orange, CA 92868-3852 2016-05-20
1396156352 Jason Desmarais Orthopaedic Surgery 280 S Main St Ste 200, Orange, CA 92868-3852 2014-05-13
1093125106 Amit Hemant Parekh Orthopaedic Surgery 280 S Main St Ste 200, Orange, CA 92868 2014-04-29
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346859386 Sadaf Abrishami Pharmacist 101 The City Dr S., Orange, CA 92868 2020-07-27
1245869825 Helena Yijia Hong Student in an Organized Health Care Education/Training Program Uci Medical Center, 101 The City Drive, Orange, CA 92868 2020-04-06
1932736527 Joshua Kristopher Livingston Student in an Organized Health Care Education/Training Program 101 The City Dr S, Rte. 128-01, Orange, CA 92868 2020-03-24
1831725894 Michelle Brown Student in an Organized Health Care Education/Training Program 101 The City Dr S. Rte 128-01, Orange, CA 92868 2020-03-20
1093363491 Kristin Lee Pharmacist 132 S. Anita Dr., Orange, CA 92868 2019-08-28
1740834217 Matthew Brian Mecheal Dentist 725 W. La Veta Suite 260, Orange, CA 92868 2019-08-01
1245897990 Brent Tyler Louie Student in an Organized Health Care Education/Training Program 101 The City Drive South Building 3, Route 88, Neuropsychiatric Center Uc Irvine Medical Center, Orange, CA 92868 2019-05-28
1093277972 Danielle Amato Student in an Organized Health Care Education/Training Program Uc Irvine Health 101 The City Drive, City Tower, Ste 40, Orange, CA 92868 2019-04-01
1851852206 Julia Ting Bu Student in an Organized Health Care Education/Training Program Uc Irvine Health, 101 The City Drive, City Tower, Ste 400, Orange, CA 92868 2019-03-28
1326507344 Harrison Beene Lowder Student in an Organized Health Care Education/Training Program 505 S. Main St, Suite 525, Orange, CA 92868 2019-03-19
Find all providers in zip 92868

Taxonomy Information

Taxonomy Code 2080S0010X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Sports Medicine

Taxonomy Definition

A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609195452 Jonathan Lee Minor Pediatrics 1310 W Stewart Dr, Suite 508, Orange, CA 92868-3854 2010-05-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689228462 Gameday Sports Medicine Academy Pediatrics 3101 Gilmore Ave Ste 100, Bakersfield, CA 93308-6342 2019-07-30
1356683247 Alana Wright Pediatrics 2300 Camino Ramon, San Ramon, CA 94583-1354 2013-03-19
1790929396 Mark Warshaw Pediatrics 8 Mclea Ct, San Francisco, CA 94103-4451 2009-04-27
1730336397 Stephen S. Chen Pediatrics 1777 Botelho Dr Ste 110, Walnut Creek, CA 94596-5083 2008-08-25
1801008917 Christine Boyd Pediatrics 1119 E Stanley Blvd, Livermore, CA 94550-4115 2007-05-03
1891875522 Rebecca A. Demorest Pediatrics 4000 Dublin Blvd Ste 100, Dublin, CA 94568-3122 2006-10-17
1427057132 Eric J Jenkinson Pediatrics 1255 Liberty St, Redding, CA 96001-0814 2005-07-15
1912419276 Alix Mackenzie Wilson Pediatrics 747 52nd St, Oakland, CA 94609-1809 2017-10-26
1326581208 Jessica Mofidi Pediatrics 403 W Adams Blvd, Los Angeles, CA 90007-2664 2016-11-28
1477705028 Bianca R. Edison Pediatrics 4650 Sunset Blvd, Mailstop 69, Children's Orthopaedic Center, Chla, Los Angeles, CA 90027 2008-10-15
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Competitor

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City ORANGE
Zip Code 92868

Improve Information

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Dataset Information

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.

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