Organization Active NPI

Randall G. Michel, M.D., a Medical Corporation

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Lompoc, CA
National Provider Identifier
1477634178
Registry record updated Oct 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
G35715 Issued in CA
Legal business name
RANDALL G. MICHEL, M.D., A MEDICAL CORPORATION
Practice address
3839 Constellation Rd
Ste D
Lompoc, CA 93436-1466
Phone
(805) 733-3541
Fax
(805) 733-0502
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2007

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

Authorized official

Name
Dr. Randall George Michel, M.D.
Title
President
Phone
(805) 733-3541

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X G35715 CA
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0007X G35715 CA Primary
Otolaryngology/Facial Plastic Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0905X G35715 CA

Addresses

Primary practice location

3839 Constellation Rd
Ste D
Lompoc, CA 93436-1466

Mailing address

3839 Constellation Rd
Ste D
Lompoc, CA 93436-1466
Phone (805) 733-3541

Other identifiers 1

IdentifierTypeStateIssuer
00G357150MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192233600000",
    "number": "1477634178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3839 CONSTELLATION RD",
            "address_2": "STE D",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361466",
            "telephone_number": "805-733-3541",
            "fax_number": "805-733-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 CONSTELLATION RD",
            "address_2": "STE D",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934361466",
            "telephone_number": "805-733-3541",
            "fax_number": "805-733-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL G. MICHEL, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-10-13",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-733-3541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G35715",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CA",
            "license": "G35715",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "CA",
            "license": "G35715",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G357150",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lompoc, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2007; 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.