Individual provider Active NPI

Michio Abe, MD

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1285669671
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A91884 Issued in CA
Practice address
12408 Hesperia Rd
Suite 21
Victorville, CA 92395-7718
Phone
(760) 553-7000
NPI assigned
Jul 12, 2006
Last updated
Mar 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A91884 CA Primary

Addresses

Primary practice location

12408 Hesperia Rd
Suite 21
Victorville, CA 92395-7718

Mailing address

12370 Hesperia Rd
Suite 6
Victorville, CA 92395-7719
Phone (760) 245-4747

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060203000602 CA Practitioner - Internal Medicine 0749294221 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1995
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Noalab Clinic IncGroup PAC ID 8325424765, 2 clinicians

Practice addresses (Care Compare)

16205 Devonshire St
Suite B
Granada Hills, CA 91344-6949
Phone (818) 488-1442

6428 Coldwater Canyon Ave
North Hollywood, CA 91606-1113
Phone (818) 308-6440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
91884CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eva Medical Clinic CurrentSince Jan 1, 2026 Accepting new patients
And Inc CurrentSince Aug 1, 2020 Accepting new patients
And Inc CurrentSince Aug 1, 2020 Accepting new patients
Noalab Clinic Inc. Internal Medicine CurrentSince Jun 24, 2022 Accepting new patients
First Care Medical Group Inc. CurrentSince Jul 24, 2022 Accepting new patients
Msji Home Inc PastSince May 1, 2013 Accepting new patients
Vvipa Medical Group Inc Internal Medicine Past Accepting new patients
Nippon Medical Clinic PastSince Sep 10, 1992 Accepting new patients
High Desert Primary Care Internal Medicine Past Accepting new patients
Kenneth V. Miselis, M.D. Inc. Past Accepting new patients
Joseph M Molina MD Professional Corporation-Southern California Internal Medicine Past Accepting new patients

Locations

16205 Devonshire St
Ste B
Granada Hills, CA 91344
Phone (818) 472-9467

6426 Coldwater Canyon Ave
North Hollywood, CA 91606
Phone (818) 927-4112

6428 Coldwater Canyon Ave
North Hollywood, CA 91606
Phone (818) 308-6440

1655 N Mount Vernon Ave
Ste B1
San Bernardino, CA 92411
Phone (909) 586-6260

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIDDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIDDD/Endpoint/BHIDDD

Organizations & group practices 11

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.

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1285669671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD",
            "address_2": "SUITE 6",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957719",
            "telephone_number": "760-245-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12408 HESPERIA RD",
            "address_2": "SUITE 21",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957718",
            "telephone_number": "760-553-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABE",
        "first_name": "MICHIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A91884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.