MEDICARE: MRS. GEORGINA MAXINE MICHAEL NP

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	163WC0200X	Critical Care Medicine Registered Nurse	565983	CA
2	363LF0000X	Family Nurse Practitioner	13763	CA

General Provider Information

NPI Number	:	1780825679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. GEORGINA MAXINE MICHAEL NP

Provider Business Mailing Address
First Line	:	3254 HOLLY WAY
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910
Country	:	US
Telephone Number	:	619-739-0955
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 WEST ARBOR DRIVE
Second Line	:	#8896
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-8896
Country	:	US
Telephone Number	:	619-543-7276
Fax Number	:	619-543-6004

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

Provider Enumeration Date	:	03/23/2009
Last Update Date	:	06/28/2010

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1356372791 — DR. RAUL S COIMBRA M.D./PH.D
Practice Location Address:

200 W ARBOR DR , MAIL CODE 8896
SAN DIEGO, CA
92103-9001

Practice Phone: 619-543-7024
Practice Fax: 619-543-7202

1871758508 — GABRIELA RIVIELLO WATERS NP
Practice Location Address:

200 W ARBOR DR , M.C. 8896
SAN DIEGO, CA
92103-9001

Practice Phone: 619-543-3434
Practice Fax: 619-543-7202

1295971158 — SAMANTHA ANNE GAMBLES FARR FNP-C
Practice Location Address:

200 W ARBOR DR # 8896
SAN DIEGO, CA
92103-1911

Practice Phone: 619-543-7202
Practice Fax: 619-543-7200

1942505045 — LARA HEATHER SPENCE MD
Practice Location Address:

UCSD TRAUMA CRITICAL CARE FELLOWSHIP , 200 WEST ARBOR DR #8896
SAN DIEGO, CA
92103

Practice Phone: 619-543-7107
Practice Fax:

1366703233 — BRIAN PIATKOWSKI NP-C
Practice Location Address:

200 W ARBOR DR , MAIL CODE #8896
SAN DIEGO, CA
92103-9000

Practice Phone: 619-543-6200
Practice Fax:

Directions to “ MRS. GEORGINA MAXINE MICHAEL NP” 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.