MICHAEL MISETICH
NPI 1174305932
Student in an Organized Health Care Education/Training Program in Glendale, CA

Active since October 17, 2023
1500 N VERDUGO RD, GLENDALE, CA 91208(818) 240-1000 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Oct 17, 2023 (2 updates tracked since 2023).

About Michael Misetich NPPES

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

MICHAEL MISETICH (NPI 1174305932) is an individual student in an organized health care education/training program in Glendale, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1174305932
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL MISETICH
Location Address1500 N VERDUGO RDGlendale, CA 91208-2809
Mailing Address1500 N Verdugo RdGlendale, CA 91208-2809
Sole ProprietorNo
Enumeration DateOctober 17, 2023
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1174305932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
1500 N VERDUGO RD, Glendale, CA 91208

Other Providers at the Same Location NPPES 2

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

Health Educator
1500 N VERDUGO RD
GLENDALE, CA 91208
Specialist/Technologist (Athletic Trainer)
1500 N VERDUGO RD
GLENDALE, CA 91208

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 Misetich's NPI number?

The NPI number for Michael Misetich is 1174305932. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Michael Misetich located?

Michael Misetich practices at 1500 N Verdugo Rd, Glendale, CA 91208. The listed phone number is (818) 240-1000.

What is Michael Misetich's specialty?

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

When was this NPI record last updated?

The NPPES record for Michael Misetich was last updated on December 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.