Mary Kay Michelis MD Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MARY KAY MICHELIS MD INC

Practice address

1739 W Avenue J
Lancaster, CA 93534-2703

Phone

(661) 945-4502

Fax

(661) 945-4841

NPI assigned

Feb 25, 2008

Organization subpart

Yes

Parent organization

HULL EYE SURGERY CENTERAs reported in NPPES

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

Authorized official

Name

Reginald Sampson, MD

Title

Officer

Phone

(661) 945-4502

Specialties & licenses 1

Addresses

Other names 1

• HULL EYE CENTER Doing business as

Part of

Hull Eye Center Medical

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hull Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lancaster, CA
  • NPI 1629107164
  NPPES parent name

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1235308164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-945-4502",
            "fax_number": "661-945-4841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 W AVENUE J",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342703",
            "telephone_number": "661-945-4502",
            "fax_number": "661-945-4841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KAY MICHELIS MD INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HULL EYE SURGERY CENTER",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "661-945-4502",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HULL EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Maria Martinez
• Xiomara Martinez
• Yvonne Jacqueline Martinez
• Zendi Martinez
• Ashley Singh Marwah-Frazier
• Mary Toft, M.D. a Medical Corporation
• Munassi Khushi Masih, P.T
• Karen Ann Mason, LCSW
• Lakeshia Ann Mason, PMHNP-BC
• Daniel M Massari, DC

• Ambulatory Surgical Clinic/Center in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.