Organization Active NPI

Mitchell McDowell, D.O. Inc

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Corona, CA
National Provider Identifier
1215620745
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
Legal business name
MITCHELL MCDOWELL, D.O. INC
Practice address
818 Magnolia Ave Ste 202
Corona, CA 92879-3128
Phone
(909) 653-3188
NPI assigned
May 31, 2023
Last updated
Jul 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2023

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

Authorized official

Name
Dr. Mitchell A McDowell, DONPI 1063711976
Title
President/Ceo
Phone
(909) 653-3188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X NU Primary

Addresses

Primary practice location

818 Magnolia Ave Ste 202
Corona, CA 92879-3128

Mailing address

11174 Dewitt Dr
Loma Linda, CA 92354-6571
Phone (909) 653-3188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230705000871 CA Part B Supplier - Clinic/Group Practice 1052770328 Receives reassigned benefits from 1 practitioner
Practice locations: Corona, CA

National Provider Directory

National Provider Directory

Locations

818 Magnolia Ave
Ste 202
Corona, CA 92879
Phone (714) 844-6334

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688515200000",
    "number": "1215620745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11174 DEWITT DR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923546571",
            "telephone_number": "909-653-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MAGNOLIA AVE STE 202",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793128",
            "telephone_number": "909-653-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL MCDOWELL, D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "909-653-3188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.