Judith a Mikacich MD Inc

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A73791 Issued in CA

Legal business name

JUDITH A MIKACICH MD INC

Practice address

2277 Fair Oaks Blvd
355
Sacramento, CA 95825-5500

Phone

(916) 927-3178

Fax

(916) 927-1488

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Judith A Mikacich, MDNPI 1255366050

Title

President

Phone

(916) 927-3178

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Ann Mikacich, MD

  • Obstetrics & Gynecology Physician
  • Sacramento, CA
  • NPI 1255366050
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1831423359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "355",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255533",
            "telephone_number": "916-927-3178",
            "fax_number": "916-927-1488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 FAIR OAKS BLVD",
            "address_2": "355",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958255500",
            "telephone_number": "916-927-3178",
            "fax_number": "916-927-1488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A MIKACICH MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "MIKACICH",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-927-3178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A73791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Jude
• Keith Michael Judelman, FNP, RN, EAMP
• Kandeel K Judge, M.D.
• Roopa Judge
• Sean James Judge, MD
• Judith Jer Vue
• Judith Kue Dental Corporation
• Anais Judkins
• Deborah Lee Judson
• Jennifer Kate Judy, LICENSED EDUCATIONAL

• Obstetrics & Gynecology Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.