Cheryl Mitchell, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16081 Issued in CA

Practice address

4156 Manzanita Ave Ste 100
Carmichael, CA 95608-1496

Phone

(916) 488-6337

NPI assigned

Dec 28, 2010

Sex

Female

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)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carbon Health Primary Care of California PC

  • Multi-Specialty Clinic/Center
  • Berkeley, CA
  • NPI 1972057990
  NPD (past)

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

{
    "created_epoch": "1293494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1437453883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4156 MANZANITA AVE STE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081496",
            "telephone_number": "916-488-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4156 MANZANITA AVE STE 100",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081496",
            "telephone_number": "916-488-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CHERYL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-28",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Nicole Mio- Cunningham, ASW
• Mission Avenue Medical Associates
• Mission Carmichael Post Acute LLC
• Mission Peak Holdings, LLC.
• Mitchell E Blum MD Inc
• Paul Lamont Mitchell
• Tuolumne Lauren Mitchell
• Shelia Mittelstadt
• MM Unlimited Inc.
• Moai

• Physician Assistant in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2010; 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.