Active NPI
Madeline R Mulder
- Nurse Practitioner
- Pasadena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95027190
- Practice address
- 625 S Fair Oaks Ave Ste 345
Pasadena, CA 91105-2677 - Phone
- (424) 314-0203
- Fax
- (424) 314-0206
- NPI assigned
- Nov 14, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 95027190 | CA | |
| Nurse Practitioner | 363L00000X | 95027190 | CA | Primary |
Addresses
Primary practice location
625 S Fair Oaks Ave Ste 345
Pasadena, CA 91105-2677
Mailing address
4140 W 190TH St
Torrance, CA 90504-5513
Other practice location 1
435 Arden Ave Ste 460
Glendale, CA 91203-1139
Phone (888) 209-8874
Other practice location 2
3109 Madera Ave
Los Angeles, CA 90039-2324
Phone (805) 459-1863
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Loma Linda University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
625 S Fair Oaks Ave
Suite 345
Pasadena, CA 91105-2677
Phone (424) 314-0203
Hospital & facility affiliations
- Huntington Hospital
- Cedars-Sinai Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients |
Locations
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
1513 S Grand Ave
Ste 360
Los Angeles, CA 90015
Phone (213) 246-2422
625 S Fair Oaks Ave
Ste 345
Pasadena, CA 91105
Phone (424) 314-0203
925 S Fair Oaks Ave Ste 345
Ste 345
Pasadena, CA 91105
399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252
4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780
Interoperability endpoints
- mmulder506629@direct.cshs.org
Organizations & group practices 1
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1639172372
-
- General Acute Care Hospital
- West Hollywood, CA
- NPI 1891940326
-
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727395200000",
"number": "1053185694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4140 W 190TH ST",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905045513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 S FAIR OAKS AVE STE 345",
"city": "PASADENA",
"state": "CA",
"postal_code": "911052677",
"telephone_number": "424-314-0203",
"fax_number": "424-314-0206"
}
],
"practiceLocations": [
{
"address_1": "435 Arden Ave Ste 460",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912031139",
"country_code": "US",
"telephone_number": "888-209-8874",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3109 Madera Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900392324",
"country_code": "US",
"telephone_number": "805-459-1863",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULDER",
"first_name": "MADELINE",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-14",
"last_updated": "2024-09-27",
"certification_date": "2024-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95027190",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95027190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.