Ando Muneno, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

3501 Jamboree Rd Ste 1250
Newport Beach, CA 92660-2939

Phone

(310) 971-3243

NPI assigned

Aug 21, 2016

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

Enrolled in VA, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2241/brand/1/csg/1/fhir/r4

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.

• Harbor Psychiatry & Mental Health, Professional Corporation

  • Psychiatry Physician
  • Newport Beach, CA
  • NPI 1780050054
  Medicare reassignment
• Memorialcare Medical Foundation

  • Clinic/Center
  • Fountain Valley, CA
  • NPI 1205167350
  Medicare reassignment
• Centers for Advanced Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Winchester, VA
  • NPI 1861221863
  Medicare reassignment
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Gainesville, VA
  • NPI 1063393833
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Woodbridge, VA
  • NPI 1396184057
  NPD
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • Prince Frederick, MD
  • NPI 1710455894
  NPD
• Hooman M. Javanmardi, Physical Therapist, a Professional Corporation

  • Physical Therapist
  • Riverside, CA
  • NPI 1306163142
  NPD (past)
• Centers for Advanced Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • MC Lean, VA
  • NPI 1326462144
  NPD (past)

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

{
    "created_epoch": "1471737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1164977005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 NEWPORT CENTER DR # 11-282",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607506",
            "telephone_number": "310-971-3243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 JAMBOREE RD STE 1250",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602939",
            "telephone_number": "310-971-3243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNENO",
        "first_name": "ANDO",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-21",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-005499",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hooriya Muhammad
• Jason Sean Muir, M.D., M.A.
• Multimedrx
• Jessica Ann Mumaugh, RD, CNSC
• Monica Paige Muncy, AUD
• Deanna Gende Munguia, AU.D.
• Cameron Munholland, LMFT
• Diana Joan Munro
• Anisa Munshi, DNP
• Deborah Murai

• Surgical Physician Assistant in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.