Jyoti Pathria Mundi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A110856 Issued in CA

Practice address

600 Corporate Dr
Suite 240
Ladera Ranch, CA 92694-2111

Phone

(949) 364-8411

Fax

(949) 364-8511

NPI assigned

Oct 21, 2008

Last updated

Nov 26, 2014By the provider in NPPES

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

Other names 1

• Jyoti Pathria Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elizabeth V Lener MD IncGroup PAC ID 7618933516, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJCAAA/Endpoint/JJCAAA

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.

• Elizabeth V. Lener, M.D., Inc.

  dba The Dermatology Center at Ladera

  • Dermatology Physician
  • Ladera Ranch, CA
  • NPI 1407989148
  Medicare reassignment Care Compare group NPD
• J Robert West, M.D., Inc

  dba Southern California Dermatology

  • Dermatology Physician
  • Newport Beach, CA
  • NPI 1932154788
  NPD (past)
• Orbuch, Brand Dermatology Associates LLP

  • MOHS-Micrographic Surgery Physician
  • Bethpage, NY
  • NPI 1992785117

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1104078310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR",
            "address_2": "SUITE 240",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942111",
            "telephone_number": "949-364-8411",
            "fax_number": "949-364-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CORPORATE DR",
            "address_2": "SUITE 240",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926942111",
            "telephone_number": "949-364-8411",
            "fax_number": "949-364-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDI",
        "first_name": "JYOTI",
        "middle_name": "PATHRIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A110856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JYOTI",
            "last_name": "PATHRIA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela L Monnahan, PT
• Jane Hwang Moore, O.T
• Amber Lynn Morang
• Theresa M. Morgan, PPS
• Tina K Morris
• Tiffany Pingkan Nababan
• Ana Paula Neciosup Sanchez
• Michelle Marie Neely
• Hieu Trung Nguyen
• Kristen Bao Duy Nguyen

• Dermatology Physician in Ladera Ranch, CA
• Providers in Ladera Ranch, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.

Verify at the official NPI Registry.