Organization Active NPI

Maureen Mulvihill, MD PC

  • Obstetrics & Gynecology Physician
  • San Pedro, CA
National Provider Identifier
1073860722
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C51422 Issued in CA
Legal business name
MAUREEN MULVIHILL, MD PC
Practice address
621 S Butte St
San Pedro, CA 90732-3510
Phone
(310) 548-1422
NPI assigned
Aug 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Dr. Maureen Mulvihill
Title
MD/President
Phone
(310) 316-6824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X C51422 CA Primary

Addresses

Primary practice location

621 S Butte St
San Pedro, CA 90732-3510

Mailing address

PO Box 5280
Huntington Beach, CA 92615-5280

Other identifiers 1

IdentifierTypeStateIssuer
1497866909MedicaidCA

National Provider Directory

National Provider Directory

Locations

621 S Butte St
San Pedro, CA 90732
Phone (310) 548-1422

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1073860722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5280",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926155280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S BUTTE ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323510",
            "telephone_number": "310-548-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUREEN MULVIHILL, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "MULVIHILL",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "310-316-6824",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "C51422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497866909",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.