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MR. MICHAEL JAMES PANOWICZ
NPI 1003251430
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since April 29, 2013PECOS Enrolled
1900 E 4TH ST, SANTA ANA, CA 92705(714) 967-4766(714) 967-4548 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Michael James Panowicz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL JAMES PANOWICZ (NPI 1003251430) is an individual student in an organized health care education/training program in Santa Ana, California and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003251430
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. MICHAEL JAMES PANOWICZ
Location Address1900 E 4TH STSanta Ana, CA 92705-3962
Mailing Address1900 E 4th St, Attn: Family Medicine Residency ProgramSanta Ana, CA 92705-3962 · (714) 967-4766 · Fax (714) 967-4548
Phone(714) 967-4766
Fax(714) 967-4548
Sole ProprietorYes
Enumeration DateApril 29, 2013
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1003251430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1900 E 4TH ST, Santa Ana, CA 92705
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Michael James Panowicz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Panowicz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
7.4 mi
Health Maintenance Organization
441 N LAKEVIEW AVE
Anaheim, CA 92807
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1952333460 (714) 279-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER WONG DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (833) 574-2273
DR. RHETT MARK BARTOLOME D.O.
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4675
DR. CHRISTOPHER THOMAS DONNELLY M.D.
Obstetrics & Gynecology
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4700
LILY LEE D.O.
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 674-4766
CRYSTAL CHEUNG
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4766
ANDREW TAEHWAN SHIN DO
Student in an Organized Health Care Education/Training Program
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (714) 967-4548
KAISER FOUNDATION HEALTH PLAN INC
Pharmacy (Community/Retail Pharmacy)
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (866) 353-5060
DR. BRIAN ROBERT CHAMPAGNE MD
Family Medicine
1900 E 4TH ST
SANTA ANA, CA 92705
Orange County (530) 574-0548

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Panowicz's NPI number?

The NPI number for Michael Panowicz is 1003251430. It was assigned to this individual provider in the NPPES registry on April 29, 2013.

Where is Michael Panowicz located?

Michael Panowicz practices at 1900 E 4th St, Santa Ana, CA 92705. The listed phone number is (714) 967-4766.

What is Michael Panowicz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Panowicz enrolled in Medicare?

Yes. Michael Panowicz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Panowicz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Panowicz reassigns Medicare benefits to Southern California Permanente Medical Group (Anaheim, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Panowicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Panowicz was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.