Individual provider Active NPI

Michelle Cao, M.D.

  • Family Medicine Physician
  • La Mesa, CA
National Provider Identifier
1003129842
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A113677 Issued in CA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121012000428 CA Practitioner - Family Practice 9638328370 Reassigns benefits to 1 organization

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
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

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 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A113677CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Form Health Associates, P.C. Family Medicine CurrentSince Sep 29, 2020 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

  • Direct secure messaging: mcao32590@sharphealthcare.direct-ci.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.