Active NPI
Randall G. Michel, M.D., a Medical Corporation
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Lompoc, CA
National Provider Identifier
1477634178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- License
- G35715
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G35715 | CA | |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | G35715 | CA | Primary |
| Otolaryngology/Facial Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G357150 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI 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.