MEDICARE: TIMOTHY JOHN MICKEL M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XP3100X	Pediatric Orthopaedic Surgery Physician	V2905	TX
2	207X00000X	Orthopaedic Surgery Physician	A74017	CA

General Provider Information

NPI Number	:	1407817646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY JOHN MICKEL M.D.

Provider Business Mailing Address
First Line	:	10470 OLD PLACERVILLE RD STE 100
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-2539
Country	:	US
Telephone Number	:	800-470-0071
Fax Number	:

Provider Business Practice Location Address
First Line	:	11795 EDUCATION ST STE 110
Second Line	:
City	:	AUBURN
State	:	CA
Zip	:	95602-2469
Country	:	US
Telephone Number	:	530-886-6820
Fax Number	:	530-886-6821

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2006
Last Update Date	:	10/03/2024

Similar Medicare Providers

1346242674 — DR. NANCY SHANG SHIBAYAMA M.D.
Practice Location Address:

11795 EDUCATION ST , STE 209
AUBURN, CA
95602-2469

Practice Phone: 530-886-6700
Practice Fax: 530-886-6701

1093700528 — DR. JAMES SANDIDGE DUNN JR. M.D.
Practice Location Address:

11795 EDUCATION ST STE 222
AUBURN, CA
95602-2469

Practice Phone: 530-886-6660
Practice Fax: 530-886-6656

1518940303 — DR. JYEPING TU M.D.
Practice Location Address:

11795 EDUCATION ST STE 100
AUBURN, CA
95602-2469

Practice Phone: 530-886-2300
Practice Fax:

1063498897 — DR. DANNY YEN M.D.
Practice Location Address:

11795 EDUCATION ST STE 201
AUBURN, CA
95602-2469

Practice Phone: 530-886-6800
Practice Fax: 530-886-6801

1366495145 — NORTHCAL HEMATOLOGY ONCOLOGY INC
Practice Location Address:

11795 EDUCATION ST , STE 220
AUBURN, CA
95602-2469

Practice Phone: 530-888-9907
Practice Fax: 530-888-9903

1124046560 — JAMES SANDIDGE DUNN JR MD INC
Practice Location Address:

11795 EDUCATION ST , SUITE 222
AUBURN, CA
95602-2469

Practice Phone: 530-886-6660
Practice Fax: 530-886-6656

Directions to “ TIMOTHY JOHN MICKEL M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.