Fred M Mumia, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA11482 Issued in CA

Practice address

719 E 1St St Ste C
Santa Ana, CA 92701-5330

Phone

(714) 547-0104

Fax

(714) 973-8612

NPI assigned

Jun 24, 2008

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• First and Health Care Inc

  • General Practice Physician
  • Santa Ana, CA
  • NPI 1982172151
  NPD (past)

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1245491067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 E 1ST ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015330",
            "telephone_number": "714-547-0104",
            "fax_number": "714-973-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 E 1ST ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927015330",
            "telephone_number": "714-547-0104",
            "fax_number": "714-973-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMIA",
        "first_name": "FRED",
        "middle_name": "M",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA11482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Multi Ethnic Collaboration of Community Agencies
• Multi-Ethnic Collaborative of Community Agencies
• Jane Marie Mulvey, LCSW
• Madhavi Sudhakar Mulye, M.D.
• Michael Thomas Mumford, M.D.
• Esther Mun
• Munay Health Wellness Center LLC
• Patrice Munday
• Jhoel Ivann Muniz Diaz
• Cinthia Muniz

• Physician Assistant in Santa Ana, CA
• Providers in Santa Ana, 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 24, 2008; 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.