Individual provider Active NPI

Michelle E Murillo, PA-C

  • Surgical Physician Assistant
  • Reseda, CA
National Provider Identifier
1952581787
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 9103956 Issued in FL
Practice address
8020 Yolanda Ave
Reseda, CA 91335-1257
Phone
(760) 567-1393
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA 9103956 FL Primary

Addresses

Primary practice location

8020 Yolanda Ave
Reseda, CA 91335-1257

Mailing address

8020 Yolanda Ave
Reseda, CA 91335-1257
Phone (760) 567-1393

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
I20160602001121 CA Practitioner - Physician Assistant 4688798531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Sleep Centers IncGroup PAC ID 8921326760, 6 clinicians

Practice addresses (Care Compare)

1505 Victor Ave
Redding, CA 96003-4031
Phone (530) 242-7273

1558 Poole Blvd
Suite B
Yuba City, CA 95993-2667
Phone (530) 674-2328

35 Jan CT
Suite 150
Chico, CA 95928-4418
Phone (530) 899-8853

Merit-based Incentive Payment System (MIPS)

Final score
93.21 of 100Reported as group
Quality
91.64
Promoting interoperability
93
Improvement activities
40
Cost
75.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13810CAMDCognitive & Behavioral Psychologist
PA 9103956FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Outpatient Surgery Center Past Accepting new patients
Platinum Healthcare Physical Medicine, PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: michelle.murillo.1@17033.direct.athenahealth.com

Organizations & group practices 4

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1952581787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 YOLANDA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351257",
            "telephone_number": "760-567-1393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 YOLANDA AVE",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913351257",
            "telephone_number": "760-567-1393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9103956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.