Active NPI
Michael H. Bishop DO a Professional Medical Corporation
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Yorba Linda, CA
National Provider Identifier
1255045134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497865364 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
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.