Hyder M. Mukadam, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

A45980 Issued in CA

Practice address

222 N Sunset Ave
#C
West Covina, CA 91790-2278

Phone

(626) 338-7359

Fax

(626) 960-3932

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allcare Mobile Wound Treatment LLC

  • Specialist
  • Harbor City, CA
  • NPI 1154126928
  Medicare reassignment NPD
• Doctors Surgery Center, a Medical Corporation

  dba Guardian Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Fountain Valley, CA
  • NPI 1275681579
  NPD (past)
• Orange View Healthcare Inc

  dba Orange View Healthcare

  • Specialist
  • Santa Ana, CA
  • NPI 1467800029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013121136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N SUNSET AVE",
            "address_2": "#C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902278",
            "telephone_number": "626-338-7359",
            "fax_number": "626-960-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N SUNSET AVE",
            "address_2": "#C",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902278",
            "telephone_number": "626-338-7359",
            "fax_number": "626-960-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKADAM",
        "first_name": "HYDER",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A45980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Aram Motley, B.A.
• Henry S. Moussa, R.P.T.
• Move Fine Inc.
• Kimberly Moya
• Krystal Mueller
• Mukhtair Singh Kundi, M.D., Inc., a Medical Corporation
• Asia Mullins, CLINICAL SUPERVISOR
• Martha Mulugeta, NP
• Mumtaz Akram MD Inc
• Mariana Munatones, NP

• Specialist in West Covina, CA
• Providers in West Covina, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.