Individual provider Active NPI

Michele Nelson, MD

  • Psychiatry Physician
  • Laguna Niguel, CA
National Provider Identifier
1811263114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A128435 Issued in CA
Practice address
28202 Cabot Rd Ste 635
Laguna Niguel, CA 92677-1222
Phone
(949) 484-0804
Fax
(949) 484-0818
NPI assigned
Mar 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X A128435 CA Primary

Addresses

Primary practice location

28202 Cabot Rd Ste 635
Laguna Niguel, CA 92677-1222

Mailing address

28202 Cabot Rd Ste 635
Laguna Niguel, CA 92677-1222
Phone (949) 484-0804

Other practice location 1

18881 Von Karman Ave Ste 1227
Irvine, CA 92612-1500
Phone (844) 827-8000

Other practice location 2

3390 University Ave Ste 100
Riverside, CA 92501-3315
Phone (844) 827-8000

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A128435CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson MD and Lochhead MD, a Professional Medical Corporation Psychiatry CurrentSince Mar 20, 2022 Accepting new patients
Regents of the University of California PastSince Jun 12, 2022 Accepting new patients

Locations

28202 Cabot Rd
Ste 635
Laguna Niguel, CA 92677
Phone (203) 482-7227

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811263114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 635",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771222",
            "telephone_number": "949-484-0804",
            "fax_number": "949-484-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28202 CABOT RD STE 635",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926771222",
            "telephone_number": "949-484-0804",
            "fax_number": "949-484-0818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18881 Von Karman Ave Ste 1227",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926121500",
            "country_code": "US",
            "telephone_number": "844-827-8000",
            "fax_number": "951-263-7223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3390 University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925013315",
            "country_code": "US",
            "telephone_number": "844-827-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MICHELE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A128435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.