Michael Vance Molyneaux, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C130733 Issued in CA

Practice address

30011 Ivy Glenn Dr Ste 215
Laguna Niguel, CA 92677-5018

Phone

(949) 403-0828

Fax

(949) 481-9353

NPI assigned

Sep 3, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1154579142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR STE 215",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775018",
            "telephone_number": "949-403-0828",
            "fax_number": "949-481-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30011 IVY GLENN DR STE 215",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775018",
            "telephone_number": "949-403-0828",
            "fax_number": "949-481-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLYNEAUX",
        "first_name": "MICHAEL",
        "middle_name": "VANCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-03",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-098965",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C130733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Mitchell, ASW
• Melika Moeini, DMD
• Tannaz Moghim Dehkordi
• Pegah Mohtashemi
• Pamela Moldauer, LCSW
• Maria Carolina Montenegro Silva Da Rocha
• Cheryl Ashlin Moore, DPT
• Jeanne Lynn Moore, PSYD
• Richard Randolph Moraitis, CADC II, BCPC, CIP
• Michael Douglas Moran, M.D.

• Family Medicine Physician in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.