Judith Ann Mikacich, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A73791 Issued in CA

Practice address

2277 Fair Oaks Blvd
Suite 355
Sacramento, CA 95825-5533

Phone

(916) 927-3178

Fax

(916) 927-1488

NPI assigned

Jul 11, 2006

Last updated

Aug 14, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

University of Texas Medical School at San Antonio, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmikacichmd39165@hisp.ehr.sutterhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Judith a Mikacich MD Inc

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
  • NPI 1831423359
  Medicare reassignment Authorized official
• Sutter Valley Medical Foundation

  dba Sutter Gould Medical Foundation

  • Multi-Specialty Clinic/Center
  • Modesto, CA
  • NPI 1669846986
  Medicare reassignment NPD
• Sutter Valley Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Tracy, CA
  • NPI 1720930712
  NPD

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250208000000",
    "number": "1255366050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "SUITE 355",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-927-3178",
            "fax_number": "916-927-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "SUITE 355",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-927-3178",
            "fax_number": "916-927-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKACICH",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A73791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "00A737910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Mihai
• Louis Mihai
• Sara Mihai
• Lavinia Mihaila, MD
• Natalie Nichole Mijach
• Joyce M Mikal-Flynn, NP
• Traci Mikasa, DO
• Mike T Martinez (Streamline Orthopedic)
• Omar Mike
• Mike's Dental Lab

• Obstetrics & Gynecology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.