Organization Active NPI

Michael H. Bishop DO a Professional Medical Corporation

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Yorba Linda, CA
National Provider Identifier
1255045134
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
MICHAEL H. BISHOP DO A PROFESSIONAL MEDICAL CORPORATION
Practice address
27110 Big Horn Mountain Way
Yorba Linda, CA 92887-4224
Phone
(619) 258-6200
Fax
(619) 258-0028
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Michael H Bishop, DO
Title
President
Phone
(714) 273-5687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0005X Primary

Addresses

Primary practice location

27110 Big Horn Mountain Way
Yorba Linda, CA 92887-4224

Mailing address

5753 E Santa Ana Canyon Rd Ste G310
Anaheim, CA 92807-3230
Phone (619) 258-6200

Other identifiers 1

IdentifierTypeStateIssuer
1497865364MedicaidCA

National Provider Directory

National Provider Directory

Locations

5753 E Santa Ana Canyon Rd
Ste G310
Anaheim, CA 92807

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1255045134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5753 E SANTA ANA CANYON RD STE G310",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928073230",
            "telephone_number": "619-258-6200",
            "fax_number": "619-258-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27110 BIG HORN MOUNTAIN WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874224",
            "telephone_number": "619-258-6200",
            "fax_number": "619-258-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL H. BISHOP DO A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-273-5687",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497865364",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorba Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.