Michael J Kwiker, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A-3637 Issued in CA

Practice address

3301 Alta Arden Expy
Suite 3
Sacramento, CA 95825-2121

Phone

(916) 489-4400

Fax

(916) 489-1710

NPI assigned

Mar 29, 2007

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2014 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538289186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 ALTA ARDEN EXPY",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252121",
            "telephone_number": "916-489-4400",
            "fax_number": "916-489-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 ALTA ARDEN EXPY",
            "address_2": "SUITE 3",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252121",
            "telephone_number": "916-489-4400",
            "fax_number": "916-489-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWIKER",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A-3637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Kwan, MD
• Stephanie Kwan
• Yuen W. Kwan, MD
• Nicole Diane Meany Kwiatkowski, M.ED., BCBA
• Scott W Kwiatkowski, D.O.
• Cosmo Kwok, MD
• Monice J Kwok, M.D
• Terry Kwok
• Paul Soonjae Kwon, M.D.
• Samantha Archussachat Kwon, PSY.D.

• Family Medicine Physician in Sacramento, CA
• Providers in Sacramento, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.