Individual provider Active NPI

Joseph Mikhail, M.D.

  • Family Medicine Physician
  • El Segundo, CA
National Provider Identifier
1417119835
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94568 Issued in CA
Practice address
360 N Pacific Coast Hwy Ste 3000
El Segundo, CA 90245-4430
Phone
(310) 642-0100
Fax
(310) 642-0546
NPI assigned
Jun 26, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94568 CA Primary

Addresses

Primary practice location

360 N Pacific Coast Hwy Ste 3000
El Segundo, CA 90245-4430

Mailing address

360 N Pacific Coast Hwy Ste 3000
El Segundo, CA 90245-4430
Phone (310) 642-0100

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
I20130625000159 CA Practitioner - Family Practice 4981843893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Geffen School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Harbor Medical Group,IncGroup PAC ID 7719081769, 4 clinicians

Practice addresses (Care Compare)

360 N Pacific Coast Hwy
Suite 3000
El Segundo, CA 90245-4430
Phone (310) 642-0100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94568CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Venice Culver Marina Medical Group Inc CurrentSince May 21, 2013 Accepting new patients

Locations

12212 W Washington Blvd
Los Angeles, CA 90066
Phone (310) 391-5241

12095 W Washington Blvd
#105
Los Angeles, CA 90066
Phone (310) 391-5241

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1417119835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 3000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454430",
            "telephone_number": "310-642-0100",
            "fax_number": "310-642-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N PACIFIC COAST HWY STE 3000",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902454430",
            "telephone_number": "310-642-0100",
            "fax_number": "310-642-0546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKHAIL",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-26",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.