DR. MICHAEL A MIKUS (NPI# 1215906847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215906847 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL A MIKUS |
| Credential | M.D. |
| Practice Address |
4405 Vandever Ave San Diego CA 92120-3315 |
| Mailing Address |
1455 Kettner Blvd #2502 San Diego CA 92101-2461 |
| Practice Telephone | 8002905000 |
| Mailing Telephone | 3122864723 |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
A065118 | CA | Allopathic & Osteopathic Physicians |
| X | 207Q00000X | Family Medicine | IL | Allopathic & Osteopathic Physicians |
| Street Address |
4405 VANDEVER AVE |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92120-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679553101 | Jennifer Lin Khoe | Surgery | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2006-01-19 |
| 1174162515 | Yana Kalendareva | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2020-01-02 |
| 1063977262 | Tiffany Cheng | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2019-02-01 |
| 1982182226 | Cheryl Z Bergman | Respiratory Therapist, Registered | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2018-07-30 |
| 1518445832 | Marina Lenkov | Respiratory Therapist, Registered | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2018-07-30 |
| 1841739646 | Denise Le | Pharmacist | 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 | 2017-02-14 |
| 1679011670 | Quynhhuong Dao | Pharmacist | 4405 Vandever Ave, 1st Floor Pharmacy, San Diego, CA 92120-3315 | 2017-02-09 |
| 1790223212 | Kaiser | Special Hospital | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2017-02-03 |
| 1750768214 | Michelle Malilim | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2015-05-04 |
| 1710396585 | Phuong Thao Do | Pharmacist | 4405 Vandever Ave, San Diego, CA 92120-3315 | 2014-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550510 | Jessica Elizabeth Knight | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Ct, 310, San Diego, CA 92120 | 2020-08-26 |
| 1770195091 | Julia Roccanova | Student in an Organized Health Care Education/Training Program | 6383 Alvarado Court, Suite 310, San Diego, CA 92120 | 2020-08-18 |
| 1225593601 | Truself Training, Inc | Clinic/Center | 5125 Waring Road, San Diego, CA 92120 | 2019-02-09 |
| 1508381799 | Antin Sachs | In Home Supportive Care | 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 | 2017-08-08 |
| 1588186415 | Matthew B Wilbat | Behavioral Analyst | 6851 Alvarado Rd., #17, San Diego, CA 92120 | 2017-07-12 |
| 1548782923 | Mori Khatibzadeh Dds Inc. | Clinic/Center | 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 | 2017-07-07 |
| 1306379359 | Ken Samith Oerding | Nurse Practitioner | 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 | 2017-04-06 |
| 1396134409 | Debra Michele Stern-ellis | Social Worker | 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 | 2015-01-13 |
| 1821494717 | Shohreh Tourian | Dentist | 7451 Mission Gorge Road, San Diego, CA 92120 | 2014-11-05 |
| 1184049215 | Charles Yin | Counselor | 6153 Fairmount Ave Suite #260, San Diego, CA 92120 | 2014-02-26 |
| Find all providers in zip 92120 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699015529 | Andrew Saleh | Family Medicine | 1370 Rosecrans St Ste A, San Diego, CA 92106-2676 | 2013-03-01 |
| 1487913588 | James Toldi | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2012-05-09 |
| 1881798221 | Frederick Allen Richburg II | Family Medicine | 4010 Sorrento Valley Blvd, Suite 300, San Diego, CA 92121-1432 | 2006-09-07 |
| 1346351665 | Stephen M Daquino | Family Medicine | 16445 Bernardo Center Dr, San Diego, CA 92128-2523 | 2006-08-31 |
| 1093821639 | Robert Arnold Baker | Family Medicine | 1820 Washington Pl, San Diego, CA 92103-2723 | 2006-08-23 |
| 1437172533 | Kenneth L. Anderson IIi | Family Medicine | 1945 Garnet Ave, San Diego, CA 92109-3595 | 2006-07-26 |
| 1417936295 | Joseph Lee Moore | Family Medicine | 975 Garnet Ave, San Diego, CA 92109-2729 | 2006-01-11 |
| 1154313971 | Kelly Dean Skanchy | Family Medicine | 2450 Craven St Bldg 3300, Naval Health Clinic Naval Station San Diego, San Diego, CA 92136-5599 | 2005-08-18 |
| 1376106849 | Joseph E Allen Md Inc | Family Medicine | 4116 W Point Loma Blvd, San Diego, CA 92110-5605 | 2019-04-19 |
| 1215382841 | Alex Bernadett | Family Medicine | 4010 Sorrento Valley Blvd Ste 300, San Diego, CA 92121-1433 | 2016-05-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.