Mikael Hakansson, M.D. Corp.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MIKAEL HAKANSSON, M.D. CORP.

Practice address

533 Sespe Ave Ste C
Fillmore, CA 93015-1942

Phone

(805) 524-2749

Fax

(805) 524-6929

NPI assigned

Sep 17, 2019

Last updated

Sep 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mikael Hakansson, M.D.NPI 1942245113

Title

Ceo

Phone

(805) 524-2749

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mikael K Hakansson, MD

  • Family Medicine Physician
  • Fillmore, CA
  • NPI 1942245113
  Medicare reassignment NPD Authorized official
• Yvonne Haller, NP

  • Nurse Practitioner
  • Santa Paula, CA
  • NPI 1528196128
  NPD (past)

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

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1487204863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 SESPE AVE STE C",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151942",
            "telephone_number": "805-524-2749",
            "fax_number": "805-524-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 SESPE AVE STE C",
            "city": "FILLMORE",
            "state": "CA",
            "postal_code": "930151942",
            "telephone_number": "805-524-2749",
            "fax_number": "805-524-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKAEL HAKANSSON, M.D. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-17",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "HAKANSSON",
        "authorized_official_first_name": "MIKAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-524-2749",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Medina, LCSW
• Yolanda Mejia
• Raymond M Menchaca, M.D.
• Jose Manuel Mendoza, NURSE PRACTITIONER
• Blanca M Mercado Hernandez, PPS
• Joseph Mock
• Rhonda Moore, FNP-BC
• Susana Morales, PHARMD
• Natasha Christina Mulneix, LVN
• Jonathan Nguyen, DDS

• Family Medicine Physician in Fillmore, CA
• Providers in Fillmore, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.