Provider Demographics
NPI:1306815717
Name:MICHEL, JAMES W (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:MICHEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4947
Mailing Address - Street 2:LINCOLN & 8TH
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93921-4947
Mailing Address - Country:US
Mailing Address - Phone:831-624-2431
Mailing Address - Fax:831-624-1809
Practice Address - Street 1:2 LINCOLN STREET NE OF 8TH AVENUE
Practice Address - Street 2:BOX 4947
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93921-4947
Practice Address - Country:US
Practice Address - Phone:831-624-2431
Practice Address - Fax:831-624-1809
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG46554207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G465540Medicaid
CA00G465540Medicaid
CAA50422Medicare UPIN