Individual provider Active NPI

James Mulzac, PA

  • Physician Assistant
  • Long Beach, CA
National Provider Identifier
1255404877
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64999 Issued in CA
Practice address
2888 Long Beach Blvd Ste 165
Long Beach, CA 90806-1561
Phone
(657) 241-9052
Fax
(714) 665-4663
NPI assigned
Nov 15, 2006
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3073 FL
Physician Assistant 363A00000X 159579 MT
Physician Assistant 363A00000X 8941 GA
Physician Assistant 363A00000X PA64999 CA Primary

Addresses

Primary practice location

2888 Long Beach Blvd Ste 165
Long Beach, CA 90806-1561

Mailing address

2888 Long Beach Blvd Ste 165
Long Beach, CA 90806-1561
Phone (657) 241-9052

Other practice location 1

1300 28th St S Fl 2
Great Falls, MT 59405-5296
Phone (406) 455-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://memorialcare.org/fhir/api/FHIR/R4/ Health Information Exchange (HIE) MemorialCare Medical Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AZ, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040228000053 FL Practitioner - Physician Assistant 4688561327 Reassigns benefits to 3 organizations
I20221229002049 AZ Practitioner - Physician Assistant 4688561327 Reassigns benefits to 1 organization
I20250118000002 CA Practitioner - Physician Assistant 4688561327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-2680

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-2011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
008941GAMDMental Health Counselor
64999CAMDPharmacotherapy Pharmacist
9468AZMDPhysical Therapist
PA64999CAMDPhysician Assistant
PA3073FLMDPhysician Assistant
8941GAMDPhysician Assistant
159579MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Physician Assistant CurrentSince Jun 29, 2018 Accepting new patients
Yuma Regional Medical Center CurrentSince Oct 1, 2022 Accepting new patients
Benefis Hospitals, Inc. CurrentSince Jul 16, 2025 Accepting new patients
Muth & Weber OB/GYN Medical Group, Inc. CurrentSince Jan 12, 2025 Accepting new patients
Stuart Cardiovascular Associates, PLLC PastSince Jul 31, 2006 Accepting new patients
Surg Med Assistants Past Accepting new patients
Healthcare Surgical Services, Inc. Past Accepting new patients
Surg Med of Northshore Past Accepting new patients
West Florida Cardiology Physicians, LLC PastSince Aug 1, 2021 Accepting new patients
Stuart Cardiovascular Anesthesia Associates PLLC PastSince Jul 31, 2006 Accepting new patients
North Broward Hospital District Past Accepting new patients
Benefis Hospitals, Inc. Past Accepting new patients

Locations

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2460 S Parkview Loop
Ste 203
Yuma, AZ 85364
Phone (928) 336-2619

2888 Long Beach Blvd
Ste 165
Long Beach, CA 90806
Phone (562) 595-5380

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1101 26th St S
Great Falls, MT 59405
Phone (406) 455-4690

1101 26th St S
Fl 5
Great Falls, MT 59405
Phone (406) 455-2132

Interoperability endpoints

  • Direct secure messaging: james.mulzac@hca5.eclinicaldirectplus.com
  • Direct secure messaging: jmulzac56587@benefishs.direct-ci.com
  • Direct secure messaging: jmulzac768423@hisp.ehr.sutterhealth.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1255404877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 165",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061561",
            "telephone_number": "657-241-9052",
            "fax_number": "714-665-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2888 LONG BEACH BLVD STE 165",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908061561",
            "telephone_number": "657-241-9052",
            "fax_number": "714-665-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 28th St S Fl 2",
            "address_purpose": "LOCATION",
            "city": "Great Falls",
            "state": "MT",
            "postal_code": "594055296",
            "country_code": "US",
            "telephone_number": "406-455-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULZAC",
        "first_name": "JAMES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3073",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MT",
            "license": "159579",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "8941",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
            "affiliation": "Y",
            "endpointDescription": "MemorialCare FHIR Endpoint",
            "affiliationName": "MemorialCare Medical Foundation",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.