Michael Thomas Hickey, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E2317 Issued in CA

Practice address

14400 Bear Valley Rd
Victorville, CA 92392-5470

Phone

(760) 951-2000

NPI assigned

Oct 24, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Starpoint Health, Inc.

  • Ambulatory Surgical Clinic/Center
  • Irvine, CA
  • NPI 1396814596
  NPD (past)
• Studio City Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Studio City, CA
  • NPI 1437360849
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1861576142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SUNDANCE DR",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917664874",
            "telephone_number": "760-951-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923925470",
            "telephone_number": "760-951-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKEY",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00385025",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GRE001960",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rylee Herrera
• Bradley Delmar Herrick, M.D.
• Lorraine Mary Heslin, CMT
• Hewad Hewadmal, M.D.
• Hi-Desert P.E.T. & Nuclear Imaging Center
• James Buchanan Hicks Jr., D.D.S.
• Tyron Hicks
• Raphael Hidalgo
• Roxie Lee Hiett, LCSW
• Irene Higareda

• Podiatrist in Victorville, CA
• Providers in Victorville, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.