Individual provider Active NPI

Maureen N. Muoneke, M.D.

  • Obstetrics & Gynecology Physician
  • Corona, CA
National Provider Identifier
1033101654
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C131881 Issued in CA
Practice address
341 Magnolia Ave Ste 201
Corona, CA 92879-3332
Phone
(951) 735-6969
Fax
(951) 735-8560
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0058793 MD
Obstetrics & Gynecology Physician 207V00000X C131881 CA Primary

Addresses

Primary practice location

341 Magnolia Ave Ste 201
Corona, CA 92879-3332

Mailing address

341 Magnolia Ave Ste 201
Corona, CA 92879-3332
Phone (951) 735-6969

Other practice location 1

1255 Commercial Dr SW
Suite B
Conyers, GA 30094-5988
Phone (678) 413-0007

Other identifiers 3

IdentifierTypeStateIssuer
61599203OtherMDCAREFIRST BLUE SHIELD
0001OtherMDFEP/BLUE CHOICE/ CAPITOL
512607000MedicaidMD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804001694 CA Practitioner - Obstetrics/Gynecology 6204829393 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C131881CAMDObstetrics & Gynecology Physician
D0058793MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Healthcare CurrentSince Oct 1, 2022 Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 7, 2025 Accepting new patients
Neighborhood Healthcare CurrentSince Oct 1, 2022 Accepting new patients
Dap Health, Inc. Current Accepting new patients
Southern California Permanente Medical Group CurrentSince Sep 7, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Southern Maryland Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
Southern Maryland Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
Southern Maryland Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
Women'S Care, LLC Obstetrics & Gynecology PastSince Dec 17, 2002 Accepting new patients
Southern Maryland Hospital, Inc. PastSince Jan 1, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Southern Maryland Hospital ,Inc. Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients

Locations

425 N Date St
Escondido, CA 92025
Phone (760) 737-2035

903 E Devonshire Ave
Ste D
Hemet, CA 92543
Phone (951) 216-6100

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

41840 Enterprise Cir N
Temecula, CA 92590
Phone (951) 225-6400

Interoperability endpoints

  • Direct secure messaging: mmuoneke112680@alamedahs.direct-ci.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1033101654",
    "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": "951-735-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 MAGNOLIA AVE STE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793332",
            "telephone_number": "951-735-6969",
            "fax_number": "951-735-8560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1255 Commercial Dr SW",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300945988",
            "country_code": "US",
            "telephone_number": "678-413-0007",
            "fax_number": "678-413-0047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUONEKE",
        "first_name": "MAUREEN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0058793",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C131881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE SHIELD",
            "identifier": "61599203",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEP/BLUE CHOICE/ CAPITOL",
            "identifier": "0001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "512607000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.