Mikey Thanteraphong
NPI 1437795333ActiveIndividual· Nurse Practitioner· Simi Valley, CA
Nurse Practitioner with Agoura Hills Urgentocare PC and 1 other group, practicing in Simi Valley, California. 522 Medicare patients in 2024, $75,798 paid; nearly all of their 657 Part D prescriptions were generic (92%).
Overview
| NPI | 1437795333 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 26, 2019 |
| Last updated in NPPES | Sep 25, 2025 |
| Certified by provider | Sep 25, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 95013063 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 522 |
|---|---|
| Services billed | 1,674 across 82 procedure codes |
| Paid by Medicare | $75,798 |
Part D prescriptions in 2024
| Prescriptions (claims) | 657 · 678 30-day fills |
|---|---|
| Patients | 405 |
| Total drug cost | $5,841 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Agoura Hills Urgentocare PCAgoura Hills, CA · 14 clinicians
- Anvar Medical GroupNorthridge, CA · 5 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 21 nurse practitioners in Simi Valley · All nurse practitioners in California