David Edward Michalik, DO

Individual provider Active NPI Pediatric Infectious Diseases Physician · Long Beach, CA

NPI 1194842344 · NPPES record last updated Sep 18, 2007

Key facts

NPI
1194842344
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Infectious Diseases Physician 2080P0208X
License
20A10117 (CA)
Practice address
2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone
(562) 933-8590
Fax
(562) 933-8093
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 8

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.

Medicare Care Compare profile

Specialty
Infectious Disease
Also: Pediatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Infectology Group Inc (4 clinicians)

Practice addresses (Care Compare)

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (714) 377-6993

Hospital & facility affiliations

  • Memorial Care Miller Children'S & Women'S Hosp LB Hospital · Long Beach, CA · CCN 053309

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120808000092 CA Practitioner - Infectious Disease
Practitioner - Pediatric Medicine
4587810528 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10117CAMDPediatric Infectious Diseases Physician
10117CAMDSpeech-Language Pathologist

Practice roles (7 of 8)

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current
since Apr 1, 2024
Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
UC Regents Uci Dept of Pediatrics Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: dmichalik18018@direct.memorialcare.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 20A10117 CA Yes

Addresses

Primary practice location

2801 Atlantic Ave
Long Beach, CA 90806-1701

Mailing address

2801 Atlantic Ave
Long Beach, CA 90806-1701
Phone (562) 933-8590

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 18, 2007.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190073600000",
    "number": "1194842344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-8590",
            "fax_number": "562-933-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061701",
            "telephone_number": "562-933-8590",
            "fax_number": "562-933-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALIK",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "CA",
            "license": "20A10117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

All providers in Long Beach, CA · Pediatric Infectious Diseases Physician in California

Sources for this page

Verify at the official NPI Registry.