Surekha Mishal, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A035164 Issued in CA

Practice address

14359 Pioneer Blvd
Suite a
Norwalk, CA 90650-4850

Phone

(562) 864-7279

Fax

(562) 862-1765

NPI assigned

Feb 12, 2007

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

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Mishal, Pham & Associates

  • Obstetrics & Gynecology Physician
  • Downey, CA
  • NPI 1518998723
  Medicare reassignment NPD
• Ame Medical Group Inc

  • Family Medicine Physician
  • Downey, CA
  • NPI 1861711863
  NPD (past)
• Cedars-Sinai Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1639172372
  NPD (past)
• Emanate Health Medical Center

  dba Citrus Valley Medical Center Inter-Community Campus

  • General Acute Care Hospital
  • Covina, CA
  • NPI 1982629440
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1699817221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14359 PIONEER BLVD",
            "address_2": "SUITE A",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504850",
            "telephone_number": "562-864-7279",
            "fax_number": "562-862-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14359 PIONEER BLVD",
            "address_2": "SUITE A",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504850",
            "telephone_number": "562-864-7279",
            "fax_number": "562-862-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISHAL",
        "first_name": "SUREKHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A035164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike M Roh DDS Dental Corporation
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• Rod E Mitchell, ASW
• Brandon Michael Miura
• Oluwatoyin Mixon
• Jayesh Modha
• Anil Kantilal Modi, M.D.

• Internal Medicine Physician in Norwalk, CA
• Providers in Norwalk, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.

Verify at the official NPI Registry.