Individual provider Active NPI

Sarasota Mihalko

  • Physician Assistant
  • Encinitas, CA
National Provider Identifier
1275362360
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
64306 Issued in CA
Practice address
4401 Manchester Ave Ste 103
Encinitas, CA 92024-4938
Phone
(760) 606-9189
NPI assigned
Jul 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 64306 CA Primary

Addresses

Primary practice location

4401 Manchester Ave Ste 103
Encinitas, CA 92024-4938

Mailing address

9255 N Magnolia Ave SPC 46
Santee, CA 92071-3139
Phone (407) 864-2616

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260121002767 CA Practitioner - Physician Assistant 2668959669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

213 2ND St
Apt 8
Encinitas, CA 92024-3273

6474 Fleetwood Dr
Nashville, TN 37209-4404

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64306CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: sarasota.mihalko.1@2034.direct.athenahealth.com

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 1

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1275362360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9255 N MAGNOLIA AVE SPC 46",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713139",
            "telephone_number": "407-864-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 MANCHESTER AVE STE 103",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920244938",
            "telephone_number": "760-606-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALKO",
        "first_name": "SARASOTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "64306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.