Individual provider Active NPI

Michael J. Metichecchia

  • Prosthetist
  • Palmdale, CA
National Provider Identifier
1922230796
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
C46460 Issued in CA
Practice address
360 Grand Cypress Ave Ste 304
Palmdale, CA 93551-3646
Phone
(661) 723-3700
Fax
(661) 723-3799
NPI assigned
Aug 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X C46460 CA
Prosthetist 224P00000X C46460 CA Primary
Orthotist 222Z00000X C46460 CA

Addresses

Primary practice location

360 Grand Cypress Ave Ste 304
Palmdale, CA 93551-3646

Mailing address

360 Grand Cypress Ave Ste 304
Palmdale, CA 93551-3646
Phone (661) 723-3700

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

State licenses

LicenseStateTypeSpecialty
C46460CAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Orthotics & Prosthetics CurrentSince Nov 8, 2025 Accepting new patients
Essential Orthotics and Prosthetics Inc Orthotist CurrentSince Nov 8, 2025 Accepting new patients

Locations

360 Grand Cypress Ave
Ste 304
Palmdale, CA 93551
Phone (661) 723-3700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1922230796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GRAND CYPRESS AVE STE 304",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513646",
            "telephone_number": "661-723-3700",
            "fax_number": "661-723-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GRAND CYPRESS AVE STE 304",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513646",
            "telephone_number": "661-723-3700",
            "fax_number": "661-723-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METICHECCHIA",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "C46460",
            "primary": false
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "CA",
            "license": "C46460",
            "primary": true
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "CA",
            "license": "C46460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.