Individual provider Active NPI

Michelle M Zamorano, M.D.

  • Psychiatry Physician
  • Mission Viejo, CA
National Provider Identifier
1750885810
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME157525 Issued in CA
Practice address
27101 Puerta Real Ste 120
Mission Viejo, CA 92691-8536
Phone
(949) 273-2522
NPI assigned
Mar 22, 2018
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X TRN26227 FL
Psychiatry Physician 2084P0800X ME157525 CA Primary

Addresses

Primary practice location

27101 Puerta Real Ste 120
Mission Viejo, CA 92691-8536

Mailing address

1409 Post Rd
Fullerton, CA 92833-2043
Phone (714) 318-9653

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221111000746 CA Practitioner - Psychiatry 9931576535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

27101 Puerta Real
Suite 120
Mission Viejo, CA 92691-8536
Phone (844) 867-8444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME157525CAMDPsychiatry Physician
TRN26227FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Health Solutions a Professional Medical Corporation Psychiatry CurrentSince Oct 1, 2022 Accepting new patients

Locations

1503 S Coast Dr
Ste 111
Costa Mesa, CA 92626
Phone (714) 206-6868

1020 Suncast Ln
Ste 108
El Dorado Hills, CA 95762
Phone (916) 932-0380

5455 Wilshire Blvd
Ste 903
Los Angeles, CA 90036
Phone (628) 244-4364

27101 Puerta Real
Ste 120
Mission Viejo, CA 92691
Phone (949) 273-2522

4100 Newport Place Dr
Ste 730
Newport Beach, CA 92660
Phone (949) 544-3040

3300 Webster St
Ste 803
Oakland, CA 94609

360 Post St
Ste 1000
San Francisco, CA 94108
Phone (415) 964-5137

360 Post St
Ste 500
San Francisco, CA 94108
Phone (415) 213-2540

1111 W Robinhood Dr
Ste L
Stockton, CA 95207
Phone (209) 490-4515

12301 Wilshire Blvd
Ste 210
West Los Angeles, CA 90025
Phone (310) 204-1950

Interoperability endpoints

  • Direct secure messaging: michelle.zamorano@hca5.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1750885810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 POST RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332043",
            "telephone_number": "714-318-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27101 PUERTA REAL STE 120",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926918536",
            "telephone_number": "949-273-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORANO",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2022-09-15",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "TRN26227",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "ME157525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.