Individual provider Active NPI

Michael E. Voskanian, P.A.-C.

  • Physician Assistant
  • Rancho Mirage, CA
National Provider Identifier
1154447886
Registry record updated Nov 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
19057 Issued in CA
Practice address
72780 Country Club Dr
BLDG B 203
Rancho Mirage, CA 92270-4126
Phone
(760) 674-3847
NPI assigned
Mar 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 19057 CA Primary

Addresses

Primary practice location

72780 Country Club Dr
BLDG B 203
Rancho Mirage, CA 92270-4126

Mailing address

72780 Country Club Dr
BLDG B 203
Rancho Mirage, CA 92270-4126
Phone (760) 674-3847

Other identifiers 1

IdentifierTypeStateIssuer
19057OtherCAPHYSICIAN'S ASST. LIC.

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
I20070523000190 CA Practitioner - Physician Assistant 2365549540 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians
Eisenhower Medical CenterGroup PAC ID 5890689657, 462 clinicians

Practice addresses (Care Compare)

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705

10862 Calle Verde
La Mesa, CA 91941-7340
Phone (619) 670-5400

151 S Sunrise Way
Palm Springs, CA 92262-0118
Phone (760) 969-7780

2445 Truxtun Rd
Suite 200
San Diego, CA 92106-6154
Phone (858) 554-9100

39950 Vista del Sol
Rancho Mirage, CA 92270-3206
Phone (760) 340-0053

72780 Country Club Dr
Rancho Mirage, CA 92270-4150

7565 Mission Valley Rd
San Diego, CA 92108-4431
Phone (619) 245-2350

9888 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9896 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 626-4123

9898 Genesee Ave
La Jolla, CA 92037-1205
Phone (858) 455-9100

Hospital & facility affiliations

  • Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
Scripps Health CurrentSince Mar 7, 2022 Accepting new patients
Eisenhower Medical Center CurrentSince Apr 18, 2011 Accepting new patients
Scripps Health CurrentSince Mar 7, 2022 Accepting new patients
Scripps Health Physician Assistant Current Accepting new patients
Eisenhower Medical Center CurrentSince Apr 18, 2011 Accepting new patients
Emergency Medicine Physician Partners of San Bernardino County, Inc Past Accepting new patients
Jabari Reeves MD Medical Corporation PastSince Dec 16, 2020 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients

Locations

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

12123 Oxnard St
North Hollywood, CA 91606
Phone (678) 990-9924

72201 Country Club Dr
Rancho Mirage, CA 92270
Phone (760) 340-5999

39950 Vista del Sol
Rancho Mirage, CA 92270
Phone (760) 340-0053

39000 Bob Hope Dr
Ofc
Rancho Mirage, CA 92270
Phone (760) 333-1813

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

2445 Truxtun Rd
Ste 200
San Diego, CA 92106
Phone (619) 272-5200

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1154447886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "BLDG B 203",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-674-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR",
            "address_2": "BLDG B 203",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704126",
            "telephone_number": "760-674-3847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSKANIAN",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "19057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN'S ASST. LIC.",
            "identifier": "19057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.