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Dr. Mark Harold Mikulics , MD

Orthopaedic Surgery β€’ Poway, CA

Deactivated NPI 1083614614 Deactivated in NPPES Male Practitioner
Practice location in NPPES

15644 Pomerado Rd, Suite 204
Poway, CA 920642400

Phone: 8584515740

Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of February 24, 2020; the reason is not published. The records below are historical. They do not show whether Dr. Mark Mikulics currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date July 26, 2005
NPI Deactivation Date February 24, 2020
NPI Active Period 2005 – 2020

Practice Location & Contact Primary Location

Practice Address

15644 Pomerado Rd
Suite 204

Poway, CA 920642400

Telephone 8584515740
Fax 8584519176
Organization at the Same NPPES Address or Phone
Paul Neustein Md Inc Facility NPI 1396873410

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Poway and California

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

License # reported to NPPES CA G64129

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Roger Bitar , MD

Internal Medicine - Infectious Disease

NPI 1225153737

Doctor of Medicine (M.D.)

Dr. Nella Green , MD

Internal Medicine - Infectious Disease

NPI 1538393699

Doctor of Medicine (M.D.)

NPI 1578529731

Doctor of Medicine (M.D.)

NPI 1942311311

Doctor of Medicine (M.D.)

Dr. Sandeep Soni , MD

Internal Medicine - Infectious Disease

NPI 1285716332

Doctor of Medicine (M.D.)

Joann Totah , PA

Physician Assistant - Medical

NPI 1962579425

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
⚠️
NPI Profile Deactivated February 24, 2020

NPPES lists this NPI as deactivated as of February 24, 2020; the reason is not published.

πŸ“
Practice Location (Initial Record) November 05, 2010

Registered at 15644 POMERADO RD, SUITE 204, POWAY, CA 920642400 (Tel: 8584515740)

πŸ“
Business Mailing Address (Initial Record) November 05, 2010

Registered at PO BOX 1180, POWAY, CA 920741180 (Tel: 8584515740)

πŸ‘€
Provider Name / Credentials (Initial Record) November 05, 2010

Recorded as MARK MIKULICS, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2010

Orthopaedic Surgery (license number reported to NPPES: CA G64129)

πŸ”„
NPI Profile Reactivated April 12, 2006

Record officially reactivated for active practice on April 12, 2006

⚠️
NPI Profile Deactivated March 21, 2006

NPPES lists this NPI as deactivated as of March 21, 2006; the reason is not published.

🟒
Initial NPI Registration & Enumeration July 26, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083614614
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2005
Last Update: November 05, 2010
Deactivation Date: February 24, 2020

Other Orthopaedic Surgery Specialists in Poway

Healthcare providers in Poway

Mailing Address

Po Box 1180

Poway, CA 920741180

Phone: 8584515740

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.