Madhavi Sudhakar Mulye, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A66772 Issued in CA

Practice address

1132 S Bristol St
Santa Ana, CA 92704-3420

Phone

(714) 424-0800

Fax

(714) 424-0128

NPI assigned

Apr 27, 2007

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advance Urgent Medical Group Inc

  • Health Maintenance Organization
  • Santa Ana, CA
  • NPI 1881847424
  Medicare reassignment NPD

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205056470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 WALNUT AVE",
            "address_2": "APARTMENT # 70",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927805772",
            "telephone_number": "714-368-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 S BRISTOL ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043420",
            "telephone_number": "714-424-0800",
            "fax_number": "714-424-0128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULYE",
        "first_name": "MADHAVI",
        "middle_name": "SUDHAKAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Mullen, PHD
• Melissa Muller
• Multi Ethnic Collaboration of Community Agencies
• Multi-Ethnic Collaborative of Community Agencies
• Jane Marie Mulvey, LCSW
• Michael Thomas Mumford, M.D.
• Fred M Mumia, PHYSICIAN ASSISTANT
• Esther Mun
• Munay Health Wellness Center LLC
• Patrice Munday

• Internal Medicine Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.