Active NPI
Michael Andrew Pietila, MD
- Family Medicine Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G83379
- Practice address
- 3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6945 - Phone
- (888) 789-9585
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G83379 | CA | Primary |
Addresses
Primary practice location
3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6945
Mailing address
3401 W Sunflower Ave Ste 250
Santa Ana, CA 92704-6945
Phone (888) 789-9585
Other practice location 1
10990 San Diego Mission road
San Diego, CA 92108
Phone (619) 528-1245
Other practice location 2
1926 Via Ctr
Vista, CA 92081-6056
Phone (760) 940-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB286546 | Other | CA | MEDICARE |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3401 W Sunflower Ave
Suite 250
Santa Ana, CA 92704-6948
Phone (714) 619-8777
Hospital & facility affiliations
- Palomar Health Downtown Campus
- Grossmont Hospital
- Parkway Hills Nursing & Rehabilitation
- Cottonwood Canyon Healthcare Center
- Villa Las Palmas Healthcare Center
- Community Care Center
- Magnolia Post Acute Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G83379 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Partners California Medical PC | Current | Accepting new patients | |
| Careconnectmd Ca PC | Family Medicine | Current | Accepting new patients |
| GN Medical Associates, Inc. | Family Medicine | Current | Accepting new patients |
| Primecare Medical Group | Past | Accepting new patients | |
| Scripps Health | Family Medicine | Past | Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777
3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258
3401 W Sunflower Ave
Ste 250
Santa Ana, CA 92704
Phone (714) 619-8777
473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1275576522
-
- Geriatric Medicine (Family Medicine) Physician
- Costa Mesa, CA
- NPI 1669260493
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1366063125
-
- Family Medicine Physician
- Vista, CA
- NPI 1861477846
-
- Internal Medicine Physician
- Tampa, FL
- NPI 1093720427
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603152000000",
"number": "1851315097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 W SUNFLOWER AVE STE 250",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046945",
"telephone_number": "888-789-9585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 W SUNFLOWER AVE STE 250",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046945",
"telephone_number": "888-789-9585"
}
],
"practiceLocations": [
{
"address_1": "10990 San Diego Mission road",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "92108",
"country_code": "US",
"telephone_number": "619-528-1245",
"fax_number": "760-471-5578",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1926 Via Ctr",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920816056",
"country_code": "US",
"telephone_number": "760-940-7000",
"fax_number": "760-940-0042",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIETILA",
"first_name": "MICHAEL",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2020-10-20",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G83379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "CB286546",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.