Individual provider Active NPI

Michael Ryan Lenihan Jr., PA-C

  • Surgical Physician Assistant
  • Chula Vista, CA
National Provider Identifier
1174921183
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
52066 Issued in CA
Practice address
955 Lane Ave Ste 200
Chula Vista, CA 91914-4525
Phone
(619) 421-3400
Fax
(619) 421-3557
NPI assigned
Dec 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 52066 CA Primary

Addresses

Primary practice location

955 Lane Ave Ste 200
Chula Vista, CA 91914-4525

Mailing address

955 Lane Ave Ste 200
Chula Vista, CA 91914-4525
Phone (619) 421-3400

Other practice location 1

3444 Kearny Villa Rd Ste 401
San Diego, CA 92123-1964
Phone (619) 421-3400

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
I20150519002244 CA Practitioner - Physician Assistant 6608196449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Orthopedic Specialists IncGroup PAC ID 0941450498, 66 clinicians

Practice addresses (Care Compare)

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (858) 278-8300

88 E Bonita Rd
Suite C
Chula Vista, CA 91910-3057
Phone (619) 230-0855

9095 Rio San Diego Dr
Suite 450
San Diego, CA 92108-1726
Phone (858) 357-9477

955 Lane Ave
Suite 200
Chula Vista, CA 91914-4525
Phone (619) 421-3400

Hospital & facility affiliations

  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Orthopedic Specialists, Inc. CurrentSince Aug 7, 2021 Accepting new patients
Scripps Health Current Accepting new patients
Synergy Orthopedic Specialists, Inc. CurrentSince Aug 7, 2021 Accepting new patients
MSK-US, Inc. PastSince Jun 5, 2011 Accepting new patients

Locations

88 E Bonita Rd
Ste C
Chula Vista, CA 91910
Phone (619) 230-0855

955 Lane Ave
Ste 200
Chula Vista, CA 91914
Phone (619) 421-3400

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4445 Eastgate Mall
Ste 105
San Diego, CA 92121
Phone (858) 357-9450

3444 Kearny Villa Rd
Ste 401
San Diego, CA 92123
Phone (619) 421-3400

4445 Eastgate Mall
Ste 103
San Diego, CA 92121
Phone (858) 450-7118

9095 Rio San Diego Dr
Ste 450
San Diego, CA 92108
Phone (619) 853-8860

41715 Winchester Rd
Ste 101
Temecula, CA 92590
Phone (858) 616-6400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mlenihan71722@scrippshlth.medalliesdirect.net

Organizations & group practices 5

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": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1174921183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 LANE AVE STE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-3400",
            "fax_number": "619-421-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LANE AVE STE 200",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-421-3400",
            "fax_number": "619-421-3557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3444 Kearny Villa Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921231964",
            "country_code": "US",
            "telephone_number": "619-421-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENIHAN",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-08",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "52066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

Verify at the official NPI Registry.