Individual provider Active NPI

Michael A Sheety, M.D., F.A.C.S.

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1871578120
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A65983 Issued in CA
Practice address
1200 N Tustin Ave
Suite 130
Santa Ana, CA 92705-3508
Phone
(714) 647-1200
Fax
(714) 647-0200
NPI assigned
Dec 9, 2005
Last updated
Dec 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A65983 CA Primary

Addresses

Primary practice location

1200 N Tustin Ave
Suite 130
Santa Ana, CA 92705-3508

Mailing address

2010 E 1St St
Ste 160
Santa Ana, CA 92705-4080
Phone (714) 647-1200

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000496 CA Practitioner - Ophthalmology 1254349525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, Irvine, California College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Sheety MD IncGroup PAC ID 7618985987, 2 clinicians

Practice addresses (Care Compare)

2010 E 1St St
Suite 160
Santa Ana, CA 92705-4080
Phone (714) 647-1200

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A65983CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sheety M.D., Inc. Ophthalmology Current Accepting new patients
University of California Irvine Past Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1871578120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 E 1ST ST",
            "address_2": "STE 160",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054080",
            "telephone_number": "714-647-1200",
            "fax_number": "714-647-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N TUSTIN AVE",
            "address_2": "SUITE 130",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053508",
            "telephone_number": "714-647-1200",
            "fax_number": "714-647-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETY",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.