Individual provider Active NPI

Michael S Denton, PAC

  • Physician Assistant
  • Carmichael, CA
National Provider Identifier
1316949332
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16811 Issued in CA
Practice address
6620 Coyle Ave Ste 202
Carmichael, CA 95608-6337
Phone
(916) 961-3434
Fax
(916) 961-0540
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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 PA16811 CA Primary

Addresses

Primary practice location

6620 Coyle Ave Ste 202
Carmichael, CA 95608-6337

Mailing address

6403 Coyle Ave Ste 170
Carmichael, CA 95608-0363
Phone (916) 965-4000

Other practice location 1

6620 Coyle Ave Ste 202
Carmichael, CA 95608-6337
Phone (916) 961-3434

Other identifiers 1

IdentifierTypeStateIssuer
4292600001OtherCADME SUPPLIER NUMBER

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
I20040830000739 CA Practitioner - Physician Assistant 8022083450 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Stanford University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the University of CaliforniaGroup PAC ID 8022922475, 562 clinicians
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

1535 River Park Dr
Sacramento, CA 95815-4601

4860 Y St
Sacramento, CA 95817-2307

4861 Y St
Sacramento, CA 95817-2307
Phone (916) 734-2525

4868 X St
Sacramento, CA 95817-2205

Hospital & facility affiliations

  • University of California Davis Medical Center Hospital, Sacramento, CA, CCN 050599

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as group
Quality
68.04
Promoting interoperability
99
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care, Inc CurrentSince Aug 1, 2022 Accepting new patients
Bay Area Foot Care Inc CurrentSince Aug 1, 2022 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 8, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 8, 2024 Accepting new patients
Brian a. McDowell Podiatry Corporation CurrentSince Apr 2, 2018 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Dignity Health Past Accepting new patients

Locations

6620 Coyle Ave
Ste 303
Carmichael, CA 95608
Phone (916) 965-4000

6620 Coyle Ave
Ste 202
Carmichael, CA 95608
Phone (916) 961-3434

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

10850 White Rock Rd
Rancho Cordova, CA 95670

576 N Sunrise Ave
Ste 230
Roseville, CA 95661
Phone (916) 961-3434

4868 X St
Ste 3D3E
Sacramento, CA 95817

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Organizations & group practices 10

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1316949332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6403 COYLE AVE STE 170",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956080363",
            "telephone_number": "916-965-4000",
            "fax_number": "916-965-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 202",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086337",
            "telephone_number": "916-961-3434",
            "fax_number": "916-961-0540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6620 Coyle Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Carmichael",
            "state": "CA",
            "postal_code": "956086337",
            "country_code": "US",
            "telephone_number": "916-961-3434",
            "fax_number": "916-961-0540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENTON",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER NUMBER",
            "identifier": "4292600001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.