Jerome Robert Mueller, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G30868 Issued in CA

Practice address

371 N San Jacinto St Ste a
Hemet, CA 92543-3105

Phone

(951) 658-1942

Fax

(951) 658-9776

NPI assigned

May 20, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1073770640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5594",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925440594",
            "telephone_number": "951-658-1942",
            "fax_number": "951-658-9776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 N SAN JACINTO ST STE A",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433105",
            "telephone_number": "951-658-1942",
            "fax_number": "951-658-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1329 E Florida Ave",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925448606",
            "country_code": "US",
            "telephone_number": "951-658-1942",
            "fax_number": "951-658-9776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "JEROME",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G30868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G308684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheron Morton
• Haytham Moselhy
• De'Janee' Lanese Mosley
• Sanai R Moss
• Louise Harriet Moyeda
• Aliyah Muhammad-Osborne
• Ayanna Muhammad-Osborne
• Poojitha Mummaneni, MD
• Bradley Dann Mundwiler
• Margarita C Munoz

• Specialist in Hemet, CA
• Providers in Hemet, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.