Michele Carpenter, M.D., Inc

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

G58755 Issued in CA

Legal business name

MICHELE CARPENTER, M.D., INC

Doing business as

Orange County Breast Care Specialists

Practice address

1010 W la Veta Ave
Suite 475
Orange, CA 92868-4300

Phone

(714) 565-0166

Fax

(714) 937-0166

NPI assigned

Sep 11, 2007

Organization subpart

No

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

Authorized official

Name

Michele M. Carpenter, MD

Title

President

Phone

(714) 565-0166

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Orange County Breast Care Specialists Doing business as

Locations

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1902091028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "SUITE 475",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-565-0166",
            "fax_number": "714-937-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE",
            "address_2": "SUITE 475",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "714-565-0166",
            "fax_number": "714-937-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELE CARPENTER, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-565-0166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "G58755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G587550",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "W21272",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Breast Care Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kristin Brooke Michaelian, MFTI
• Jose R Michel Santana
• Erika Michel
• Julie Micheli, LCSW
• Michelle L Romero MD a Professional Corporation
• Renu Michelsen, DDS
• Jessica Michelson
• Roxanne Cano Mickelson, M.D.

• Surgical Oncology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Surgical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.