Jean Gail Mullenax, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G66967 Issued in CA

Practice address

4058 Willows Rd
Alpine, CA 91901-1668

Phone

(619) 445-1188

Fax

(619) 659-3140

NPI assigned

Apr 22, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326326400000",
    "number": "1053377671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 UNIVERSITY AVE",
            "address_2": "STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921051601",
            "telephone_number": "619-563-0507",
            "fax_number": "619-563-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4058 WILLOWS RD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919011668",
            "telephone_number": "619-445-1188",
            "fax_number": "619-659-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENAX",
        "first_name": "JEAN",
        "middle_name": "GAIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-22",
        "last_updated": "2012-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G66967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacy Morris, RN
• Marcia K Moudree, MD
• Mountain Health & Community Services, Inc.
• Heather Ann Moyer, B.A.
• Kathleen Grace Muir, MFTI
• Ariel Munoz
• Turin Mustafa
• Noor Naama, RDH
• Cari Nickson, A-GNP-C
• Agnieszka Ewa Norton

• Pediatrics Physician in Alpine, CA
• Providers in Alpine, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.