Misael Avila

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1501 E Orangethorpe Ave Ste 200
Fullerton, CA 92831-5205

Phone

(714) 254-8473

NPI assigned

Dec 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Fullerton, CA
  • NPI 1881729911
  NPD
• Clarvida

  • Student in an Organized Health Care Education/Training Program
  • Fullerton, CA
  • NPI 1750216172
  NPD (past)

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1831905157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 GROSSMONT DR",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906011064",
            "telephone_number": "626-977-9798",
            "fax_number": "626-977-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E ORANGETHORPE AVE STE 200",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928315205",
            "telephone_number": "714-254-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "MISAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph De Jesus Avila
• Katherine Lisseth Avila
• Laura Christine Avila
• Mailyn Alexandra Avila, LCSW
• Maria D Avila
• Prescilla Avila
• Sandra Avila
• Carissa Aviles
• Laura Avina, R1238020916
• Andrew Awadalla

• Student in an Organized Health Care Education/Training Program in Fullerton, CA
• Providers in Fullerton, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.