Active NPI
Paul Mikesell
- Vascular-Interventional Technology Radiologic Technologist
- San Diego, CA
National Provider Identifier
1477003473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular-Interventional Technology Radiologic Technologist
- License
- RHF 00101572
- Practice address
- 12400 High Bluff Dr
San Diego, CA 92130-3077 - Phone
- (800) 282-0300
- NPI assigned
- Oct 13, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular-Interventional Technology Radiologic Technologist | 2471V0106X | RHF 00101572 | CA | Primary |
Addresses
Primary practice location
12400 High Bluff Dr
San Diego, CA 92130-3077
Mailing address
12400 High Bluff Dr
San Diego, CA 92130-3077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHF 00101572 | CA | MD | Vascular-Interventional Technology Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1477003473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 HIGH BLUFF DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 HIGH BLUFF DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921303077",
"telephone_number": "800-282-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKESELL",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-13",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2471V0106X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Vascular-Interventional Technology",
"state": "CA",
"license": "RHF 00101572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.