NPIMap

Organization Active NPI

Dr Mikel Walk in Clinic

  • General Practice Physician
  • Hesperia, CA
National Provider Identifier
1215230560
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A48518 Issued in CA
Legal business name
DR MIKEL WALK IN CLINIC
Practice address
12821 Main St
Ste 130
Hesperia, CA 92345-9126
Phone
(760) 947-3184
Fax
(760) 947-2816
NPI assigned
Dec 8, 2010
Organization subpart
Yes
Parent organization
DR MIKEL WALK IN CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Mikel Alwis, MD
Title
Presdent
Phone
(760) 221-9298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A48518 CA Primary

Addresses

Primary practice location

12821 Main St
Ste 130
Hesperia, CA 92345-9126

Mailing address

15791 Bear Valley Rd
Hesperia, CA 92345-1746
Phone (760) 949-1231

National Provider Directory

National Provider Directory
Tax ID family
Drmikel Walk in Clinic Inc4 organizations share this tax ID, including this one
Part of
Drmikel Walk in Clinic Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12821 Main St
Ste 130
Hesperia, CA 92345
Phone (760) 947-3184

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1215230560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15791 BEAR VALLEY RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451746",
            "telephone_number": "760-949-1231",
            "fax_number": "760-949-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12821 MAIN ST",
            "address_2": "STE 130",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923459126",
            "telephone_number": "760-947-3184",
            "fax_number": "760-947-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR MIKEL WALK IN CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR MIKEL WALK IN CLINIC",
        "enumeration_date": "2010-12-08",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "ALWIS",
        "authorized_official_first_name": "MIKEL",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "760-221-9298",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A48518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.