Michael Andrew Palacio, DNP, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95004489 Issued in CA

Practice address

7625 Mesa College Dr Ste 315a
San Diego, CA 92111-5343

Phone

(858) 576-1011

Fax

(858) 576-1025

NPI assigned

Feb 19, 2008

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Douglas Dobecki, Medical Doctor, Incorporated

  • Pain Medicine (Anesthesiology) Physician
  • San Diego, CA
  • NPI 1861832735
  Medicare reassignment NPD
• Balboa Surgical Institute, Inc.

  • Ambulatory Surgical Clinic/Center
  • San Diego, CA
  • NPI 1275006173
  NPD (past)
• Santa Fe Pain & Spine Specialists PC

  • Pain Medicine (Anesthesiology) Physician
  • Rio Rancho, NM
  • NPI 1700814316
  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620432000000",
    "number": "1730357229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 315A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-576-1011",
            "fax_number": "858-576-1025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 315A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-576-1011",
            "fax_number": "858-576-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALACIO",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DNP, ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-19",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95004489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shibangi Pal, MD
• Pala Diagnostics, LLC
• Kaitlin Dveira Pala, M.D.
• Cynthia Palacio
• Laura Palacio, RBT
• Palacios Family Therapy, Inc
• Martin Palacios Leal
• Eunice Azucena Palacios Ramirez, LMFT
• Carolina Estefania Palacios Ramos, MS, CCC-SLP
• Karina Palacios Rios

• Acute Care Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.