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Active NPI 1437795333 Individual Practitioner Male Practitioner

Mikey Thanteraphong

Nurse Practitioner • Simi Valley, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mikey Thanteraphong is a certified Nurse Practitioner practicing in Simi Valley, CA. With approximately 10 years of clinical experience since completing medical education in 2016, Mikey Thanteraphong delivers high-quality medical care to the local community at 2845 COCHRAN ST STE B.

Mikey Thanteraphong maintains professional affiliations with Anvar Medical Group, Agoura Hills Urgentocare Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19). Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2845 Cochran St Ste B

Simi Valley, CA 930657905

Telephone 8188357355
Associated Practice Facility / Clinic
🏢 Rpmd Medical, Pc Facility NPI 1447123526

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Simi Valley, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs +3.6 yrs vs City Avg
City Avg: 6.4 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
20 Specialists

Practicing in Simi Valley, CA (8378 Statewide)

Telehealth Adoption Rate
5.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thanteraphong (10 Years) 10 Yrs
Simi Valley Specialty Average (6.4 Years) 6.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
429 313 $285.14 $117.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
188 188 $369.60 $152.69
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
121 108 $130.00 $40.55
J1885 Injection, ketorolac tromethamine, per 15 mg
88 22 $2.00 $0.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
67 50 $33.00 $13.42
99213 Established patient office or other outpatient visit, typically 15 minutes
66 61 $192.21 $82.92
87804 Detection test by immunoassay with direct visual observation for influenza virus
64 30 $34.00 $16.22
81002 Urinalysis, manual test
58 54 $7.00 $3.41
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
47 46 $34.00 $16.20
J1100 Injection, dexamethasone sodium phosphate, 1 mg
44 12 $1.00 $0.12
71046 X-ray of chest, 2 views
36 34 $79.00 $32.36
94640 Inhalation treatment for airway obstruction or sputum production
27 26 $27.00 $7.84
69209 Removal of impacted ear wax by washing
18 16 $37.00 $18.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
17 17 $249.00 $102.08
36415 Insertion of needle into vein for collection of blood sample
12 12 $6.00 $5.88

Medical Specialties & State Licenses

CMS Verified: 2025-09-25
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95013063

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Agoura Hills Urgentocare Pc

475 E Avenida De Los Arboles, Thousand Oaks, CA 913602993

Phone: 8184830885

Anvar Medical Group

9335 Reseda Blvd, Northridge, CA 913242983

Phone: 8183499966

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1437920816

Advanced Practice Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 25, 2025

Registered at 2845 COCHRAN ST STE B, SIMI VALLEY, CA 930657905 (Tel: 8188357355)

📍
Updated Practice Location March 06, 2025

Registered at PO BOX 336, AGOURA HILLS, CA 913760336 (Tel: 8188357355)

📍
Updated Business Mailing Address March 06, 2025

Registered at PO BOX 336, AGOURA HILLS, CA 913760336 (Tel: 8188357355)

📍
Updated Practice Location February 06, 2024

Registered at 3175 OLD CONEJO RD # 200, NEWBURY PARK, CA 913202151 (Tel: 8188357355)

📍
Updated Business Mailing Address February 06, 2024

Registered at 3175 OLD CONEJO RD # 200, NEWBURY PARK, CA 913202151 (Tel: 8188357355)

NPI Profile Active November 26, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location November 26, 2019

Registered at 11550 INDIAN HILLS RD STE 371, MISSION HILLS, CA 913451252 (Tel: 8183651194)

📍
Updated Business Mailing Address November 26, 2019

Registered at 11550 INDIAN HILLS RD STE 371, MISSION HILLS, CA 913451252 (Tel: 8183651194)

👤
Provider Name / Credentials Updated November 26, 2019

Recorded as MIKEY THANTERAPHONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2019

Nurse Practitioner (License #95013063 in CA)

🟢
Initial NPI Registration & Enumeration November 26, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437795333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2019
Last Update: September 25, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 336

Agoura Hills, CA 913760336

Phone: 8188357355

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.