Stuart Allen Mumm, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G35869 Issued in CA

Practice address

1661 Soquel Dr
Suite a
Santa Cruz, CA 95065-1787

Phone

(831) 476-7676

Fax

(831) 476-4824

NPI assigned

Nov 30, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Harbor Medical Group Inc

  • Obstetrics & Gynecology Physician
  • Santa Cruz, CA
  • NPI 1710039573
  NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1033287131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR",
            "address_2": "SUITE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651709",
            "telephone_number": "831-476-7676",
            "fax_number": "831-476-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 SOQUEL DR",
            "address_2": "SUITE A",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651787",
            "telephone_number": "831-476-7676",
            "fax_number": "831-476-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMM",
        "first_name": "STUART",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G35869",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "AM8525327",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G358690",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC",
            "identifier": "AM8525327",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Anne Mulholland, M.S., LMFT
• Jeanne Elilzabeth Muller, LCSW
• Marin Muller, MD
• John Robert Mulvey, LCSW
• Lindsey Mumm, PA
• Angela Muniz
• Eduardo Alonzo Munoz Cholico
• Alexis D. Munoz
• Margarita Munoz
• Marlena Louisa Munoz, LAC

• Obstetrics & Gynecology Physician in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.