Active NPI
Thomas Campbell Mulhern, PA-C
- Medical Physician Assistant
- Golden, CO
National Provider Identifier
1265065718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0008015
- Practice address
- 730 Simms St Unit 536
Golden, CO 80401-5127 - Phone
- (708) 466-9741
- NPI assigned
- Feb 12, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA59963 | CA | |
| Medical Physician Assistant | 363AM0700X | PA.0008015 | CO | Primary |
Addresses
Primary practice location
730 Simms St Unit 536
Golden, CO 80401-5127
Mailing address
730 Simms St Unit 536
Golden, CO 80401-5127
Phone (708) 466-9741
Other practice location 1
10710 N Torrey Pines Rd
LA Jolla, CA 92037-1035
Phone (619) 849-4469
Other practice location 2
240 E. Huron St.
McGaw Pavilion, Suite 1-200
Chicago, IL 60611-6061
Phone (312) 503-1851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA59963 | CA | MD | Physician Assistant |
| PA.0008015 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1265065718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 SIMMS ST UNIT 536",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015127",
"telephone_number": "708-466-9741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 SIMMS ST UNIT 536",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804015127",
"telephone_number": "708-466-9741"
}
],
"practiceLocations": [
{
"address_1": "10710 N Torrey Pines Rd",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "920371035",
"country_code": "US",
"telephone_number": "619-849-4469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "240 E. Huron St.",
"address_2": "McGaw Pavilion, Suite 1-200",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606116061",
"country_code": "US",
"telephone_number": "312-503-1851",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULHERN",
"first_name": "THOMAS",
"middle_name": "CAMPBELL",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-12",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA59963",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0008015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.