Michelle Monette Ladwig, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 17127 Issued in CA

Practice address

9300 Valley Childrens PL
Madera, CA 93636-8762

Phone

(559) 353-6453

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: mladwig13998@valleychildrens-prd.direct-ci.com

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1649210048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41226 BUTTE WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936367413",
            "telephone_number": "209-605-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368762",
            "telephone_number": "559-353-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3525 Pelandale Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953569781",
            "country_code": "US",
            "telephone_number": "209-572-3880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADWIG",
        "first_name": "MICHELLE",
        "middle_name": "MONETTE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA 17127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-CERTIFICATION",
            "identifier": "1060702",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PA-C LICENSE",
            "identifier": "PA17127",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Kwiecinski
• Ji Yeon Kwon, NP
• Shannel Kwon
• Kyu Yon Lee
• L.H. Althuijzen LLC.
• Russel Grover Ladwig, PAC
• Lags Spine and Sportscare Medical Centers, Inc.
• Krista Lynn Shement Lai
• Nhu Thi Quynh Lai
• Ravendeep Lally, PPS

• Physician Assistant in Madera, CA
• Providers in Madera, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.