DR. STEFANIE ANN MIKULICS M.D. NPI 1275553497

NPI Information

NPI: 1275553497
Provider Name: DR. STEFANIE ANN MIKULICS, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
1050 LAS TABLAS RD
SUITE 2
TEMPLETON, CA
ZIP 93465
Phone: (805) 434-9441
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DR. Stefanie Ann Mikulics, M.D. is a gynecology obstetrics gynecology in Templeton, CA. DR. Stefanie Ann Mikulics, M.D. NPI is 1275553497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 LAS TABLAS RD
SUITE 2
TEMPLETON, CA
ZIP 93465-729
Phone: (805) 434-9441
Fax: (805) 434-9456

The NPI 1275553497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 4/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	A68329	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W15907	MEDICARE PIN	CALIFORNIA
2	00A683290	MEDICAID	CALIFORNIA
3	H52834	MEDICARE UPIN	CALIFORNIA
4	00A683290	OTHER	CALIFORNIA	BLUE SHIELD PIN
5	GR0092204	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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