Active NPI
Michelle Marie Pashley, DDS, MD
- Oral & Maxillofacial Surgery (D.M.D.)
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 60053
- Practice address
- 24953 Paseo de Valencia Ste 1C
Laguna Hills, CA 92653-4337 - Phone
- (949) 768-4071
- NPI assigned
- Sep 20, 2006
- Last updated
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Anesthesiology | 1223D0004X | 137.000670.019.02690 | CA | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 019026904 | IL | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 60053 | CA | Primary |
Addresses
Primary practice location
24953 Paseo de Valencia Ste 1C
Laguna Hills, CA 92653-4337
Mailing address
10942 Harrogate PL
Santa Ana, CA 92705-2353
Phone (312) 925-0882
Other practice location 1
6305 W 95th St
Oak Lawn, IL 60453-2255
Phone (708) 425-4300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137.000670.019.02690 | CA | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quoc L. Nguyen, D.D.S. a Professional Dental Corporation | Multi-Specialty | Current | Accepting new patients |
| Hochstadter Isaacson Cherny Dumanis & Assoc Maxillo Surgery LTD | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Board of Trustees of the University of Illinois | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Locations
24953 Paseo de Valencia
Ste 22B
Laguna Hills, CA 92653
Phone (949) 768-4071
24953 Paseo de Valencia
Ste 1C
Laguna Hills, CA 92653
Phone (949) 446-9325
Organizations & group practices 3
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.
-
dba Laguna Hills Oral Maxillofacial & Implant Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Laguna Hills, CA
- NPI 1093012494
Multi-Specialty
-
- Dentist
- Chicago, IL
- NPI 1992873921
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- Park Ridge, IL
- NPI 1154424778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1396843009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10942 HARROGATE PL",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927052353",
"telephone_number": "312-925-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24953 PASEO DE VALENCIA STE 1C",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926534337",
"telephone_number": "949-768-4071"
}
],
"practiceLocations": [
{
"address_1": "6305 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532255",
"country_code": "US",
"telephone_number": "708-425-4300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASHLEY",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS, MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Dental Anesthesiology",
"state": "CA",
"license": "137.000670.019.02690",
"primary": false
},
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "IL",
"license": "019026904",
"primary": false
},
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "CA",
"license": "60053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.