Michael Mammone (NPI# 1033297213, PAC ID# 4880585181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1033297213 |
| PAC ID by PECOS | 4880585181 |
| Professional Enrollment ID | I20040324000983 |
| Full Name | Michael Mammone |
| Organization Legal Name | MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. |
| Address |
31872 Coast Hwy Laguna Beach CA 92651-6773 |
| Phone Number | 9494997193 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 7315090271 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050567 | MISSION HOSPITAL REGIONAL MED CENTER |
| Address | Phone | Organization |
|---|---|---|
| 31872 Coast Hwy, Laguna Beach, CA 92651-6773 | 9494997193 | MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. |
| Organization Legal Name | MISSION VIEJO EMERGENCY MEDICAL ASSOCIATES, INC. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Guisou Mahmoud | Emergency Medicine | Mission Viejo Emergency Medical Associates, Inc. | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Mark I Paulsen | Emergency Medicine | Mission Viejo Emergency Medical Associates, Inc. | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Dina Seif | Emergency Medicine | Mission Viejo Emergency Medical Associates, Inc. | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Street Address |
31872 COAST HWY |
| City | LAGUNA BEACH |
| State | CA |
| Zip | 92651-6773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard J Wasley | Diagnostic Radiology | South Coast Radiological Medical Group Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Tod M Henrichsen | Anesthesiology | Western Anesthesia Medical Associates Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Christopher T Vanley | Pathology | Newport Harbor Pathology Medical Group Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Timothy J Ebbert | Anesthesiology | Western Anesthesia Medical Associates Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Eric Hsu | Anesthesiology | Western Anesthesia Medical Associates Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Jason U Kwon | Anesthesiology | Western Anesthesia Medical Associates Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Jeremy T Szymanowski | Diagnostic Radiology | South Coast Radiological Medical Group Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Emily A Taylor | Physician Assistant | Healthcare Service Partners Inc | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Gregory G Simsarian | Emergency Medicine | Cep America - California | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Guisou Mahmoud | Emergency Medicine | Mission Viejo Emergency Medical Associates, Inc. | 31872 Coast Hwy, Laguna Beach, CA 92651-6773 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel C Mills | Plastic and Reconstructive Surgery | Aesthetic Plastic Surgical Institute A Med Corp | 31852 Pacific Coast Hwy 401, Laguna Beach, CA 92651 |
| Gabrielle O Connor | Internal Medicine | 31852 Coast Hwy, Suite 202, Laguna Beach, CA 92651 | |
| Christopher M Bates | Plastic and Reconstructive Surgery | Aesthetic Plastic Surgical Institute A Med Corp | 31852 Pacific Coast Hwy 401, Laguna Beach, CA 92651 |
| Diane Christopherson | Chiropractic | 1502 N Coast Hwy, Laguna Beach, CA 92651-1343 | |
| David J Pope | Psychologist, Clinical | 505 Dunnegan Dr, Laguna Beach, CA 92651-1432 | |
| Ruth A Stafford | Clinical Psychologist | 505 Allview Ter, Laguna Beach, CA 92651-1551 | |
| Robert J French | Family Medicine | 265 Laguna Ave, Laguna Beach, CA 92651-2119 | |
| Michael D Cook | Optometry | I2ioptometry.com,inc | 265 Laguna Ave, Laguna Beach, CA 92651-2119 |
| David N Cler | Optometry | I2ioptometry.com,inc | 265 Laguna Ave, Laguna Beach, CA 92651-2119 |
| Jon K Ford | Podiatry | 265 Laguna Ave, Laguna Beach, CA 92651-2119 | |
| Find all physicians in zip 92651 | |||
| City | LAGUNA BEACH |
| Zip Code | 92651 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | LAGUNA BEACH + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Michael Mammone.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.