Individual provider Active NPI

John H. Mitchell, M.D.

  • Family Medicine Physician
  • Brea, CA
National Provider Identifier
1225024912
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A42500 Issued in CA
Practice address
3000 E Birch St Ste 107
Brea, CA 92821-6261
Phone
(714) 996-2391
Fax
(714) 996-2301
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A42500 CA Primary

Addresses

Primary practice location

3000 E Birch St Ste 107
Brea, CA 92821-6261

Mailing address

3000 E Birch St Ste 107
Brea, CA 92821-6261
Phone (714) 996-2391

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address john.mitchell.1@14453.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050616001227 CA Practitioner - Family Practice 0941244222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3000 E Birch St
Suite 107
Brea, CA 92821-6261
Phone (714) 996-2391

Hospital & facility affiliations

  • Uci Health-Orange Hospital, Orange, CA, CCN 050348
  • Providence St. Jude Medical Center Hospital, Fullerton, CA, CCN 050168

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions247
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A42500CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John H Mitchell MD Inc CurrentSince Mar 19, 2014 Accepting new patients

Locations

2874 E Imperial Hwy
Brea, CA 92821
Phone (714) 579-7505

3000 E Birch St
Ste 107
Brea, CA 92821
Phone (714) 996-2391

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14453/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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 4

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1225024912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E BIRCH ST STE 107",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216261",
            "telephone_number": "714-996-2391",
            "fax_number": "714-996-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 E BIRCH ST STE 107",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928216261",
            "telephone_number": "714-996-2391",
            "fax_number": "714-996-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOHN",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.mitchell.1@14453.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3000 E Birch St Ste 107",
            "city": "Brea",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928216261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.