Michael Anthony Radonich, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A76286 Issued in CA

Practice address

3801 Katella Ave.
Suite 101
Los Alamitos, CA 90720

Phone

(562) 598-8593

Fax

(562) 594-0877

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Tustin, CA
  • NPI 1891986204

  CA

  Medicare reassignment Care Compare group
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Los Alamitos, CA
  • NPI 1750509444
  NPD
• Alamitos Dermatological Medical Clinic a Professional Corp

  • Specialist
  • Mission Viejo, CA
  • NPI 1801087218
  NPD
• Los Alamitos Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Los Alamitos, CA
  • NPI 1497780084
  NPD (past)

Specialty

Dermatology

Education

Jefferson Medical College of Thomas Jefferson University, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alamitos Dermatological Medical Clinic a Professional Corp 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80 of 100Reported as group

Quality

60

Improvement activities

40

Procedures performed for Medicare patients

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053404681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE.",
            "address_2": "SUITE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "562-598-8593",
            "fax_number": "562-594-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 KATELLA AVE.",
            "address_2": "SUITE 101",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "90720",
            "telephone_number": "562-598-8593",
            "fax_number": "562-594-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADONICH",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A76286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Los Alamitos, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.