Active NPI
Micheal Michel Mikheal, MD
- Family Medicine Physician
- La Habra, CA
National Provider Identifier
1639867609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A198854
- Practice address
- 201 S Harbor Blvd
La Habra, CA 90631-5654 - Phone
- (562) 264-6000
- NPI assigned
- Apr 27, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A198854 | CA | Primary |
Addresses
Primary practice location
201 S Harbor Blvd
La Habra, CA 90631-5654
Mailing address
1000 Vale Terrace Dr
Vista, CA 92084-5218
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260604002043 | CA | Order and Referring Only - Family Practice | 2264903863 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A198854 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1639867609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 VALE TERRACE DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920845218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S HARBOR BLVD",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906315654",
"telephone_number": "562-264-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKHEAL",
"first_name": "MICHEAL",
"middle_name": "MICHEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-27",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A198854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Habra, CA
- John Miceli Jr., D.C.
- Michael C McClane DDS a Professional Corporation
- Kimberly Marianna Michel, MS PSS CREDENTIAL
- Scott Middleton, M.D.
- Mike C Jou DPM Inc
- Crystal Min
- Mindfulness and Motion Physical Therapy Inc.
- Mobile Health Providers, a Professional Corporation
- Modern Nuclear, Inc
- Modern Nuclear, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.