Individual provider Active NPI

Patrick Michael Mullin, MD

  • Maternal & Fetal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1255345203
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
A62503 Issued in CA
Practice address
50 Alessandro PL Ste 210
Pasadena, CA 91105-4005
Phone
(626) 514-0060
Fax
(626) 514-0062
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X A62503 CA
Maternal & Fetal Medicine Physician 207VM0101X A62503 CA Primary

Addresses

Primary practice location

50 Alessandro PL Ste 210
Pasadena, CA 91105-4005

Mailing address

50 Alessandro PL Ste 210
Pasadena, CA 91105-4005
Phone (626) 514-0060

Other identifiers 1

IdentifierTypeStateIssuer
A62503OtherCAPHYSICIAN AND SURGEON LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050614001083 CA Practitioner - Obstetrics/Gynecology 1658315205 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2009 Accepting new patients
Aaron J Epstein MD Inc Maternal & Fetal Medicine CurrentSince Dec 5, 2022 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Apr 1, 2009 Accepting new patients
Usc Obstetricians and Gynecologists, Inc. Maternal & Fetal Medicine Past Accepting new patients

Locations

2625 W Alameda Ave
Ste 410
Burbank, CA 91505
Phone (818) 450-6656

191 S Buena Vista St
Ste 435
Burbank, CA 91505
Phone (818) 845-5802

1808 Verdugo Blvd
Ste 412
Glendale, CA 91208

44215 15th St W
Ste 114
Lancaster, CA 93534
Phone (661) 945-4563

1127 Wilshire Blvd
Ste 1414
Los Angeles, CA 90017
Phone (213) 241-5000

1400 S Grand Ave
Ste 805
Los Angeles, CA 90015
Phone (213) 763-1500

1300 N Vermont Ave
Ste 301
Los Angeles, CA 90027
Phone (323) 361-6070

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1500 San Pablo St
Los Angeles, CA 90033
Phone (323) 443-8500

11550 Indian Hls
Ste 380
Mission Hills, CA 91345
Phone (818) 361-5069

50 Alessandro Pl
Ste 210
Pasadena, CA 91105
Phone (626) 440-9920

39 Congress St
Ste 301
Pasadena, CA 91105
Phone (626) 486-0181

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1255345203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 210",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054005",
            "telephone_number": "626-514-0060",
            "fax_number": "626-514-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ALESSANDRO PL STE 210",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911054005",
            "telephone_number": "626-514-0060",
            "fax_number": "626-514-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "PATRICK",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CA",
            "license": "A62503",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A62503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN AND SURGEON LICENSE",
            "identifier": "A62503",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.