Organization Active NPI

Raymond J Mikelionis MD Inc

  • Family Medicine Physician
  • Roseville, CA
National Provider Identifier
1972518603
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G21006 Issued in CA
Legal business name
RAYMOND J MIKELIONIS MD INC
Practice address
203 Grove St
Roseville, CA 95678-1519
Phone
(916) 786-0222
Fax
(916) 786-2479
NPI assigned
Jul 30, 2006
Last updated
May 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Mr. Raymond Joltn Mikelionis, MD
Title
MD President of Corporation
Phone
(916) 786-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G21006 CA Primary

Addresses

Primary practice location

203 Grove St
Roseville, CA 95678-1519

Mailing address

203 Grove St
Roseville, CA 95678-1519
Phone (916) 786-0222

National Provider Directory

National Provider Directory

Locations

203 Grove St
Roseville, CA 95678
Phone (916) 783-2348

576 N Sunrise Ave
Ste 210
Roseville, CA 95661
Phone (916) 299-6501

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1972518603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781519",
            "telephone_number": "916-786-0222",
            "fax_number": "916-786-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GROVE ST",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781519",
            "telephone_number": "916-786-0222",
            "fax_number": "916-786-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND J MIKELIONIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "MIKELIONIS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOLTN",
        "authorized_official_title_or_position": "MD PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "916-786-0222",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G21006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.