Active NPI
Jessica Cole McMichael, M.D.
- Pediatric Orthopaedic Surgery Physician
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- A125386
- Practice address
- 1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854 - Phone
- (714) 633-2111
- Fax
- (714) 633-5615
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | A125386 | CA | Primary |
| Orthopaedic Surgery Physician | 207X00000X | A125386 | CA |
Addresses
Primary practice location
1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854
Mailing address
1310 W Stewart Dr
Suite 508
Orange, CA 92868-3854
Phone (714) 633-2111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CB244893 | Other | CA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Saint Louis University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Glasson Way
Suite L30
Grass Valley, CA 95945-5723
Phone (856) 759-4765
625 Pole Line Rd W
Suite 1B
Twin Falls, ID 83301-4269
Phone (208) 825-2007
Hospital & facility affiliations
- St Lukes Magic Valley Medical Center
- Sierra Nevada Memorial Hospital
- St Luke'S Jerome
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A125386 | CA | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Acute Care Surgery Medical Group, Inc. | Orthopaedic Surgery | Current | Accepting new patients |
| Surgical Affiliates of California | Current | Accepting new patients | |
| Permanente Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Adult and Pediatric Orthopaedic Specialists a Medical Group Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Mercy Orthopaedic Trauma Services, LLC | Past | Accepting new patients | |
| Synergy Surgicalists LLC | Orthopaedic Surgery | Past | Accepting new patients |
Locations
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
4601 Dale Rd
Modesto, CA 95356
Phone (209) 557-1000
1310 W Stewart Dr
Ste 508
Orange, CA 92868
Phone (714) 633-2111
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
625 Pole Line Rd W
Ste 1B
Twin Falls, ID 83301
Phone (208) 814-8100
801 Pole Line Rd W
Twin Falls, ID 83301
Phone (208) 814-1000
Organizations & group practices 9
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.
-
- Surgery Physician
- Sacramento, CA
- NPI 1700069549
ID, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Grass Valley, CA
- NPI 1932623782
-
- Specialist
- Orange, CA
- NPI 1902831514
Orthopaedic Surgery
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Orthopaedic Surgery
-
- Internal Medicine Physician
- Stockton, CA
- NPI 1548343510
Orthopaedic Surgery
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Orthopaedic Trauma Physician
- Saint Louis, MO
- NPI 1700996022
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1114334422
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grass Valley, CA
- NPI 1659361392
-
- Critical Access Hospital
- Jerome, ID
- NPI 1366874877
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1912101668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 508",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-633-2111",
"fax_number": "714-633-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 W STEWART DR",
"address_2": "SUITE 508",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683854",
"telephone_number": "714-633-2111",
"fax_number": "714-633-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMICHAEL",
"first_name": "JESSICA",
"middle_name": "COLE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "CA",
"license": "A125386",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A125386",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "CB244893",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; 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.