Active NPI
Michael Edwards, M.D., PHD
- Plastic and Reconstructive Surgery Physician
- Santa Ana, CA
National Provider Identifier
1891774147
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jan 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- A91508
- Practice address
- 1440 E 1St St
Suite 100
Santa Ana, CA 92701-6384 - Phone
- (714) 568-1100
- Fax
- (714) 568-1101
- NPI assigned
- Jan 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | L2873 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | A91508 | CA | Primary |
Addresses
Primary practice location
1440 E 1St St
Suite 100
Santa Ana, CA 92701-6384
Mailing address
1440 E 1St St
Suite 100
Santa Ana, CA 92701-6384
Phone (714) 568-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91508 | CA | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael C Edwards MD PHD Inc | Past | Accepting new patients | |
| Southwest Medical Associates, Inc. | Past | Accepting new patients | |
| Bellville Hospital District | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Plastic Surgery Physician
- Santa Ana, CA
- NPI 1013927052
-
- General Acute Care Hospital
- Bellville, TX
- NPI 1457358103
-
- Emergency Medicine Physician
- Electra, TX
- NPI 1831299122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268611200000",
"number": "1891774147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1440 E 1ST ST",
"address_2": "SUITE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927016384",
"telephone_number": "714-568-1100",
"fax_number": "714-568-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 E 1ST ST",
"address_2": "SUITE 100",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927016384",
"telephone_number": "714-568-1100",
"fax_number": "714-568-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D., PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-14",
"last_updated": "2010-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "L2873",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "A91508",
"primary": true
}
],
"identifiers": [],
"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 Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.