Michael Appy
Individual provider Active NPI Physician Assistant · San Pedro, CA
NPI 1104287523 · NPPES record last updated Mar 12, 2016
Key facts
- NPI
- 1104287523
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 04216792 (CA)
- Practice address
- 1643 Westmont Dr
San Pedro, CA 90732-1394 - Phone
- (310) 430-8308
- NPI assigned
- Mar 12, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04216792 | CA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 04216792 | CA | Yes |
Addresses
Primary practice location
1643 Westmont Dr
San Pedro, CA 90732-1394
Mailing address
1643 Westmont Dr
San Pedro, CA 90732-1394
Phone (310) 430-8308
Other providers in San Pedro, CA
- Andrew C Sheng DMD Apc
- Mayra Angeles Hernandez
- Angel George Angelow
- Janet Angulo
- Jeremy Anuntiyo
- Ruth Irene Aramaki
- Ruben Arancibia
- Alejandra Arceo
- Christine Louise Archer
- Gia Arcillas
All providers in San Pedro, CA · Physician Assistant in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.