Active NPI
Michael Joseph Silivelio
- Case Manager/Care Coordinator
- San Diego, CA
National Provider Identifier
1750950358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 224161158
- Practice address
- 5504 1/2 University Ave
San Diego, CA 92105-2307 - Phone
- (714) 467-6834
- NPI assigned
- Jun 18, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 224161158 | UT | Primary |
Addresses
Primary practice location
5504 1/2 University Ave
San Diego, CA 92105-2307
Mailing address
5504 1/2 University Ave
San Diego, CA 92105-2307
Phone (714) 467-6834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224161158 | UT | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1750950358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5504 1/2 UNIVERSITY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052307",
"telephone_number": "714-467-6834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 1/2 UNIVERSITY AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921052307",
"telephone_number": "714-467-6834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILIVELIO",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "UT",
"license": "224161158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.