Active NPI
Michelle Cao, M.D.
- Family Medicine Physician
- La Mesa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A113677
- Practice address
- 8881 Fletcher Pkwy
Suite 105
La Mesa, CA 91942-3134 - Phone
- (858) 499-2600
- Fax
- (619) 462-9625
- NPI assigned
- Jul 22, 2010
- Last updated
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A113677 | CA | Primary |
Addresses
Primary practice location
8881 Fletcher Pkwy
Suite 105
La Mesa, CA 91942-3134
Mailing address
8881 Fletcher Pkwy
Suite 105
La Mesa, CA 91942-3134
Phone (858) 499-2600
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michelle.cao@168064768409604.direct.elationemr.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Nevada School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2600 Via de la Valle
Suite 200
Del Mar, CA 92014-1992
Phone (858) 499-2600
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A113677 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Form Health Associates, P.C. | Family Medicine | Current | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Sharp Rees-Stealy Medical Center | Past | Accepting new patients | |
| Form Health Associates, P.C. | Family Medicine | Past | Accepting new patients |
Locations
4900 California Ave
Bakersfield, CA 93309
Phone (404) 273-4596
4900 California Ave
Fl 2B
Bakersfield, CA 93309
109 State St
Ste 5
Boston, MA 02109
179 Lincoln St
Ste 404
Boston, MA 02111
Phone (404) 273-4596
Interoperability endpoints
- mcao32590@sharphealthcare.direct-ci.com
- michelle.cao@168064768409604.direct.elationemr.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1003129842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY",
"address_2": "SUITE 105",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134",
"telephone_number": "858-499-2600",
"fax_number": "619-462-9625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8881 FLETCHER PKWY",
"address_2": "SUITE 105",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423134",
"telephone_number": "858-499-2600",
"fax_number": "619-462-9625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A113677",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michelle.cao@168064768409604.direct.elationemr.com",
"affiliation": "N",
"address_1": "179 Lincoln St Ste 404",
"city": "Boston",
"state": "MA",
"country_code": "US",
"postal_code": "021112425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.