Jodi N Mwendia, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

60644 Issued in CA

Practice address

7172 Magnolia Ave
Riverside, CA 92504-3804

Phone

(951) 788-2224

NPI assigned

Jan 17, 2022

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Loma Linda University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Alexander P Hersel MD IncGroup PAC ID 3678550795, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

62.32 of 100Reported as group

Quality

34

Promoting interoperability

77

Improvement activities

40

Cost

59.57

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles (1 of 2)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Alexander P. Hersel, M.D., Inc

  • Pain Medicine (Anesthesiology) Physician
  • Thousand Oaks, CA
  • NPI 1063511475
  Medicare reassignment Care Compare group
• Riverside Neurology Inc

  • Specialist
  • Riverside, CA
  • NPI 1508059007
  Medicare reassignment
• Omar Osman Practice, LLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1669192472

  CA

  Medicare reassignment
• Azure Medical PC

  • Rheumatology Physician
  • Riverside, CA
  • NPI 1295596195
  NPD (past)

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1154072601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7922 DAY CREEK BLVD APT 1206",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398586",
            "telephone_number": "925-667-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043804",
            "telephone_number": "951-788-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MWENDIA",
        "first_name": "JODI",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keerun Mustafa
• Monika Mustafa, M.D.
• Oktay Mustafayev, CRNA
• Tanvi Musunuru
• Mutual Care Management, Inc.
• My Dentist and Me Pediatric Dentistry
• My Second Home Assisted Living LLC
• Jarod Myer
• Aerial Myers
• Kaileigh Myers

• Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.