Individual provider Active NPI

John C Michalak, P.A.-C.

  • Medical Physician Assistant
  • Camarillo, CA
National Provider Identifier
1922057934
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA16603 Issued in CA
Practice address
1887 Baja Vista Way
Camarillo, CA 93010-9274
Phone
(805) 340-0563
Fax
(805) 389-3190
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA16603 CA Primary
Surgical Physician Assistant 363AS0400X PA16603 CA

Addresses

Primary practice location

1887 Baja Vista Way
Camarillo, CA 93010-9274

Mailing address

1887 Baja Vista Way
Camarillo, CA 93010-9274
Phone (805) 340-0563

Other practice location 1

400 W Pueblo St
Santa Barbara, CA 93105-4353
Phone (805) 682-7111

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060921000588 CA Practitioner - Physician Assistant 3375548597 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cottage Clinical Network LLCGroup PAC ID 1850712530, 57 clinicians

Practice addresses (Care Compare)

1708 S Victoria Ave
Suite D
Ventura, CA 93003-6594
Phone (805) 290-4985

1846 N Broadway
Suite a
Santa Maria, CA 93454-1447
Phone (805) 361-4279

777 E Foothill Blvd
San Luis Obispo, CA 93405-1617
Phone (805) 762-4348

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.65
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of California PC CurrentSince Jul 24, 2024 Accepting new patients
Emergency Physicians Urgent Care Inc. CurrentSince Apr 23, 2018 Accepting new patients
Cep America-California CurrentSince Jul 1, 2011 Accepting new patients
Carbon Health Medical Group of California PC CurrentSince Jul 24, 2024 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Oct 11, 2022 Accepting new patients
Cep America - California CurrentSince Jul 1, 2011 Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
Arroyo Grande Surgical Institute, LLC PastSince Jul 17, 2022 Accepting new patients
Cottage Medical Associates Past Accepting new patients

Locations

345 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 489-4261

7330 El Camino Real
Atascadero, CA 93422
Phone (805) 703-2501

212 Coffee Rd
Ste 100
Bakersfield, CA 93309
Phone (661) 885-6060

9710 Brimhall Rd
Bakersfield, CA 93312
Phone (661) 829-6741

751 Medical Center Ct
#1182
Chula Vista, CA 91911

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

24451 Health Center Dr
Laguna Hills, CA 92653
Phone (949) 452-3573

1600 N Rose Ave
Oxnard, CA 93030
Phone (805) 988-2500

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

2944 Tapo Canyon Rd
Ste A
Simi Valley, CA 93063
Phone (805) 306-5990

1911 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 542-6633

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: john.michalak.p1@direct.bfmc.nextgenshare.com
  • Direct secure messaging: john.michalak.p8@direct.bfmc.nextgenshare.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1922057934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 BAJA VISTA WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109274",
            "telephone_number": "805-340-0563",
            "fax_number": "805-389-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 BAJA VISTA WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930109274",
            "telephone_number": "805-340-0563",
            "fax_number": "805-389-3190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Pueblo St",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931054353",
            "country_code": "US",
            "telephone_number": "805-682-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHALAK",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA16603",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA16603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

Verify at the official NPI Registry.