Atessa Mikanik

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

58087 Issued in CA

Practice address

13059 Lamia PT
San Diego, CA 92130-6928

Phone

(858) 366-5000

NPI assigned

Mar 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Somagen Healthcare IncGroup PAC ID 1557530151, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Somagen Healthcare Inc

  • Urgent Care Clinic/Center
  • Santee, CA
  • NPI 1396058137
  Medicare reassignment Care Compare group NPD
• Onyx Medical Group Inc

  • Primary Care Clinic/Center
  • Whittier, CA
  • NPI 1851191019
  Medicare reassignment
• Remedial Patients Care Inc

  • Primary Care Clinic/Center
  • Corona, CA
  • NPI 1508507229
  Medicare reassignment
• Vital Medical Group, Inc

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1124886437
  Medicare reassignment
• Ac and CS

  • Clinical Social Worker
  • Burbank, CA
  • NPI 1659794246
  NPD (past)
• Heacock Health Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Moreno Valley, CA
  • NPI 1891251849
  NPD (past)

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

{
    "created_epoch": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1841825965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13059 LAMIA PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13059 LAMIA PT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306928",
            "telephone_number": "858-366-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKANIK",
        "first_name": "ATESSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-09",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "58087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atessamikanik@protonmal.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13059 Lamia Pt",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921306928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shelia Erika Mijares
• Miji Care of San Diego, Inc.
• Vasa Mik, L.AC
• Aimee Mikail, BEHAVIOR ANALYST
• Irene Christina Mikami
• Sadaf Mikanik, PHARM.D.
• Rebecca Jane Mikell, M.A., RN BSN
• Solana Lanae Mikell
• Kimberly Mikensana
• Paul Mikesell

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.