Individual provider Active NPI

Jessica Cole McMichael, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Orange, CA
National Provider Identifier
1912101668
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
A125386 Issued in CA
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

Updated by the provider on May 3, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CB244893OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131211000281 CA Practitioner - Orthopedic Surgery 1254465917 Reassigns benefits to 3 organizations
I20251020002989 ID Practitioner - Orthopedic Surgery 1254465917 Reassigns benefits to 2 organizations

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
Synergy Surgicalists PCGroup PAC ID 2860768330, 14 clinicians
Acute Care Surgery Medical Group IncGroup PAC ID 7214006816, 205 clinicians

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 Hospital, Twin Falls, ID, CCN 130002
  • Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150
  • St Luke'S Jerome Hospital, Jerome, ID, CCN 131310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125386CAMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Orthopaedic Surgery CurrentSince Jun 12, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jun 12, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Orthopaedic Surgery CurrentSince Sep 26, 2025 Accepting new patients
Surgical Affiliates of California CurrentSince Sep 26, 2025 Accepting new patients
Permanente Medical Group Inc Orthopaedic Surgery Current Accepting new patients
Adult and Pediatric Orthopaedic Specialists a Medical Group Inc Orthopaedic Surgery CurrentSince Dec 1, 2015 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.