Active NPI
Mi'Quael Alizia Houston, M.D.
- Anesthesiology Physician
- Marina del Rey, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A107684
- Practice address
- 4650 Lincoln Blvd
Marina del Rey, CA 90292-6306 - Phone
- (310) 823-8911
- NPI assigned
- Apr 6, 2011
- Last updated
- Jun 10, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A107684 | CA | Primary |
Addresses
Primary practice location
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Mailing address
1200 N State St
Ipt, Room C4E100
Los Angeles, CA 90033-1029
Phone (323) 409-4597
Other practice location 1
1200 N State St
IPT, Room C4E100
Los Angeles, CA 90033-1029
Phone (323) 409-4597
Other names 1
- Dr. Mi'Quael Alizia Cottrell
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
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of California, Geffen School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone (310) 823-8911
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107684 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients |
Locations
12400 Wilshire Blvd
Ste 100
Los Angeles, CA 90025
Phone (310) 422-5566
6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 264-2561
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654819200000",
"number": "1669761920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "IPT, ROOM C4E100",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "323-409-4597",
"fax_number": "323-441-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 LINCOLN BLVD",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902926306",
"telephone_number": "310-823-8911"
}
],
"practiceLocations": [
{
"address_1": "1200 N State St",
"address_2": "IPT, Room C4E100",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900331029",
"country_code": "US",
"telephone_number": "323-409-4597",
"fax_number": "323-441-8085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOUSTON",
"first_name": "MI'QUAEL",
"middle_name": "ALIZIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2022-06-10",
"certification_date": "2022-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A107684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MI'QUAEL",
"last_name": "COTTRELL",
"middle_name": "ALIZIA",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marina del Rey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.