Active NPI
Jeffery Alan Muller, M.D.
- Family Medicine Physician
- Corona, CA
National Provider Identifier
1003995754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G5288
- Practice address
- 2815 S Main St Ste 210
Corona, CA 92882-2533 - Phone
- (951) 735-9211
- Fax
- (951) 735-6200
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | G52888 | CA | |
| Family Medicine Physician | 207Q00000X | G5288 | CA | Primary |
Addresses
Primary practice location
2815 S Main St Ste 210
Corona, CA 92882-2533
Mailing address
341 Magnolia Ave Ste 201
Corona, CA 92879-3332
Phone (951) 735-9211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2815 S Main St
Suite 210
Corona, CA 92882-2533
Phone (951) 735-9211
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5288 | CA | MD | Family Medicine Physician |
| G52888 | CA | MD | Preferred Provider Organization |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Corona Extended Care, Inc.. | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jeffery.muller.p51@direct.kmsm.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Legal Medicine
- Corona, CA
- NPI 1376692988
-
- Urgent Care Clinic/Center
- Corona, CA
- NPI 1982766069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1003995754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 MAGNOLIA AVE STE 201",
"city": "CORONA",
"state": "CA",
"postal_code": "928793332",
"telephone_number": "951-735-9211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2815 S MAIN ST STE 210",
"city": "CORONA",
"state": "CA",
"postal_code": "928822533",
"telephone_number": "951-735-9211",
"fax_number": "951-735-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER",
"first_name": "JEFFERY",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CA",
"license": "G52888",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G5288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.