Organization Active NPI

A Mu D O Inc

  • Infectious Disease Physician
  • Clovis, CA
National Provider Identifier
1013760248
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
A MU D O INC
Practice address
761 W Shaw Ave
Clovis, CA 93612-3217
Phone
(559) 549-3234
Fax
(559) 641-5608
NPI assigned
Apr 8, 2024
Last updated
Apr 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Authorized official

Name
Albert Chientu Mu, D.O.NPI 1205001559
Title
Chief Executive Officer, Chief Fina
Phone
(909) 210-1209

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

761 W Shaw Ave
Clovis, CA 93612-3217

Mailing address

356 Trout Lake Dr
Sanger, CA 93657
Phone (559) 549-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240619001010 CA Part B Supplier - Clinic/Group Practice 7618410655 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712534400000",
    "number": "1013760248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 TROUT LAKE DR",
            "city": "SANGER",
            "state": "CA",
            "postal_code": "93657",
            "telephone_number": "559-549-3234",
            "fax_number": "559-641-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 W SHAW AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123217",
            "telephone_number": "559-549-3234",
            "fax_number": "559-641-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MU D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-08",
        "status": "A",
        "authorized_official_last_name": "MU",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "CHIENTU",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER, CHIEF FINA",
        "authorized_official_telephone_number": "909-210-1209",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.