Individual provider Active NPI

Michelle Chalico, NP

  • Family Nurse Practitioner
  • San Jacinto, CA
National Provider Identifier
1396528600
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95022608 Issued in CA
Practice address
1579 S San Jacinto Ave
San Jacinto, CA 92583-5100
Phone
(909) 665-1100
NPI assigned
Aug 18, 2023
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95022608 CA Primary

Addresses

Primary practice location

1579 S San Jacinto Ave
San Jacinto, CA 92583-5100

Mailing address

1695 S San Jacinto Ave
San Jacinto, CA 92583-5103

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
I20231115003111 CA Practitioner - Nurse Practitioner 0042667883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians Urgent Care IncGroup PAC ID 8527234418, 138 clinicians

Practice addresses (Care Compare)

9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747

Merit-based Incentive Payment System (MIPS)

Final score
22.4 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
74.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Jun 13, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Sep 29, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Jun 13, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Sep 29, 2025 Accepting new patients

Locations

212 Coffee Rd
Bakersfield, CA 93309
Phone (661) 829-6937

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

4108 Edison Ave
Ste 112
Chino, CA 91710
Phone (909) 334-4545

32860 Pacific Coast Hwy
Ste 24
Dana Point, CA 92629
Phone (949) 441-2922

215 S Hickory St
Escondido, CA 92025
Phone (619) 354-3833

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

6789 N Blackstone Ave
Fresno, CA 93710
Phone (559) 512-3377

41540 Winchester Rd
Temecula, CA 92590
Phone (951) 365-5585

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • Direct secure messaging: michelle.chalico.p22@direct.kmsm.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1396528600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 S SAN JACINTO AVE",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835100",
            "telephone_number": "909-665-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALICO",
        "first_name": "MICHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-18",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95022608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jacinto, CA

Sources for this page

Verify at the official NPI Registry.