Active NPI
Michael John Norman, MD
- Family Medicine Physician
- Redlands, CA
National Provider Identifier
1770783482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G45780
- Practice address
- 355 Terracina Blvd
Redlands, CA 92373-4819 - Phone
- (909) 335-0400
- NPI assigned
- Jul 20, 2007
- Last updated
- Dec 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G45780 | CA | Primary |
Addresses
Primary practice location
355 Terracina Blvd
Redlands, CA 92373-4819
Mailing address
650 S Zediker Ave
Parlier, CA 93648-2666
Phone (559) 646-3561
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G45780 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camarena Health | Current | Accepting new patients | |
| Camarena Health | Current | Accepting new patients | |
| Camarena Health | Family Medicine | Current | Accepting new patients |
| Redlands Community Hospital | Past | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| United Health Centers of the San Joaquin Valley | Past | Accepting new patients |
Locations
344 E 6th St
Madera, CA 93638
Phone (559) 664-4158
49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724
Interoperability endpoints
- michael.norman.1@17661.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Camarena Health - Los Banos
- Federally Qualified Health Center (FQHC)
- Los Banos, CA
- NPI 1114757754
-
- Federally Qualified Health Center (FQHC)
- Oakhurst, CA
- NPI 1437407582
-
dba Community Regional Medical Center
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- Federally Qualified Health Center (FQHC)
- Huron, CA
- NPI 1134101686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323216000000",
"number": "1770783482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 S ZEDIKER AVE",
"city": "PARLIER",
"state": "CA",
"postal_code": "936482666",
"telephone_number": "559-646-3561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 TERRACINA BLVD",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734819",
"telephone_number": "909-335-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORMAN",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2011-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G45780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.