Michael a Mundell, MD, Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G28146 Issued in CA

Legal business name

MICHAEL A MUNDELL, MD, PROFESSIONAL CORPORATION

Practice address

1400 Quail CT
Santa Rosa, CA 95404-2043

Phone

(707) 538-5528

NPI assigned

Aug 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Michael Allan Mundell, MD

Title

Presidentt

Phone

(707) 291-3193

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407801600000",
    "number": "1285043505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 QUAIL CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042043",
            "telephone_number": "707-538-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 QUAIL CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954042043",
            "telephone_number": "707-538-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A MUNDELL, MD, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2014-08-12",
        "status": "A",
        "authorized_official_last_name": "MUNDELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENTT",
        "authorized_official_telephone_number": "707-291-3193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G28146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anesthesiology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.