Micah Clement, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

25455 Barton Rd
Loma Linda, CA 92354-3128

Phone

(909) 558-6600

NPI assigned

May 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BDACDD/Endpoint/BDACDD

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.

• Faculty Physicians and Surgeons of Llusm

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Apple Valley, CA
  • NPI 1205009917
  Medicare reassignment NPD
• Go Healthcare, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Palm Desert, CA
  • NPI 1588927438
  Medicare reassignment
• Faculty Physicians and Surgeons of Llusm

  • Obstetrics & Gynecology Physician
  • Rancho Cucamonga, CA
  • NPI 1568113827

  Physician Assistant

  NPD
• Karma Doctors & Associates, P.C.

  • Psychiatry Physician
  • Villa Park, CA
  • NPI 1205450418
  NPD (past)
• Freeport Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1073991287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25455 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543128",
            "telephone_number": "909-558-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENT",
        "first_name": "MICAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin D Clark, M.D.
• Debra S Clausen, NP
• Meredith I Clayton, D.O.
• William R Clegg, M.D.
• Derrick Anthony Cleland, DO, MPH
• Emilia Marialuisa Clementi, MD
• Kimberly Clendenning-Woods, LVN
• Andrea Cline, LCSW
• Kathryn Cloete, MD
• Lucia G Cloud

• Physician Assistant in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.