Individual provider Active NPI

John Edward Mike, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Santa Ana, CA
National Provider Identifier
1083429948
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030757 Issued in CA
Practice address
2541 W Camden PL
Santa Ana, CA 92704-4509
Phone
(651) 500-0985
NPI assigned
Feb 10, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030757 CA Primary

Addresses

Primary practice location

2541 W Camden PL
Santa Ana, CA 92704-4509

Mailing address

2541 W Camden PL
Santa Ana, CA 92704-4509
Phone (651) 500-0985

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919002418 CA Practitioner - Nurse Practitioner 6507360708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ContinuemGroup PAC ID 7911302955, 13 clinicians

Practice addresses (Care Compare)

6430 S St
Lakewood, CA 90713-1713
Phone (562) 731-3990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030757CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Continuem CurrentSince Jul 1, 2025 Accepting new patients
Continuem PastSince Nov 9, 2021 Accepting new patients

Locations

6430 South St
Lakewood, CA 90713
Phone (310) 210-8895

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10665844

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1083429948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 W CAMDEN PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927044509",
            "telephone_number": "651-500-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 W CAMDEN PL",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927044509",
            "telephone_number": "651-500-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKE",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.