Active NPI
Mitzie Plaeger
- Contractor
- Capistrano Beach, CA
National Provider Identifier
1164618674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- E1879517
- Practice address
- 26122 Via California
Capistrano Beach, CA 92624-1202 - Phone
- (949) 274-5539
- NPI assigned
- Sep 18, 2007
- Last updated
- Sep 18, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | E1879517 | CA | Primary |
Addresses
Primary practice location
26122 Via California
Capistrano Beach, CA 92624-1202
Mailing address
26122 Via California
Capistrano Beach, CA 92624-1202
Phone (949) 274-5539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1879517 | CA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190073600000",
"number": "1164618674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26122 VIA CALIFORNIA",
"city": "CAPISTRANO BEACH",
"state": "CA",
"postal_code": "926241202",
"telephone_number": "949-274-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26122 VIA CALIFORNIA",
"city": "CAPISTRANO BEACH",
"state": "CA",
"postal_code": "926241202",
"telephone_number": "949-274-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLAEGER",
"first_name": "MITZIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "CA",
"license": "E1879517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Capistrano Beach, CA
- Pacific Coast Therapy, Inc.
- Pacific Hills Treatment Centers, Inc.
- Peet Chiropractic Health Corporation
- Adriana Peralta
- Peter J. Scheid, M.D. Inc
- Danielle Reaves, PMHNP
- Molly Madeline Rozok, FNP
- David Christopher Sales, DC
- Salterra Recovery, LLC (Salterra OC Detox & Treatment)
- Daniel Marcos Sarinana, CERTIFIED MASSAGE TH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.