Active NPI
Michele Nelson, MD
- Psychiatry Physician
- Laguna Niguel, CA
National Provider Identifier
1811263114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A128435
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A128435 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson MD and Lochhead MD, a Professional Medical Corporation | Psychiatry | Current | Accepting new patients |
| Regents of the University of California | Past | 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.
-
- Psychiatry Physician
- Laguna Niguel, CA
- NPI 1043848872
-
- Family Medicine Physician
- Riverside, CA
- NPI 1811255060
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
- National Vision, Inc.
- Travis Neighbor, D.O.
- Niloufar Nekou, LMFT
- Nelson MD and Lochhead MD, a Professional Medical Corporation
- Jeanne Carol Nelson, L.M.F.T.
- Maryam Nemati, M.D.
- Christina Marie Lugosi Nenninger, MS, CCC-SLP
- Neuroconsulting Services, Incorporated
- Neurotech Inc
- New Leaf Detox and Treatment
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.