Omar Michmali, VOCATIONAL NURSE

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

727231 Issued in CA

Practice address

1840 Woodview CT
Ceres, CA 95307-3580

Phone

(209) 864-1476

NPI assigned

Feb 13, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1427853506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 WOODVIEW CT",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073580",
            "telephone_number": "209-864-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WOODVIEW CT",
            "city": "CERES",
            "state": "CA",
            "postal_code": "953073580",
            "telephone_number": "209-864-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHMALI",
        "first_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "VOCATIONAL NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-13",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "727231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maricella Perez Mendoza, CADC 1
• Ruel Francis Mendoza
• Shantel Merlis
• Michele Methvin
• Michael G. Davis (Ceres Physical Therapy and Rehab)
• Mid-Valley Health Services, LLC (Mid-Valley Health Services)
• Dan Ray Middleton, CST1
• Sara Nicole Middleton, BHS
• Jessica Danette Miller
• Cristal Miranda

• Licensed Vocational Nurse in Ceres, CA
• Providers in Ceres, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.