Active NPI
Martin W. Muth, M.D.
- Obstetrics & Gynecology Physician
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G25796
- Practice address
- 3828 Schaufele Ave
Suite 200
Long Beach, CA 90808-1791 - Phone
- (657) 241-8990
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G25796 | CA | Primary |
Addresses
Primary practice location
3828 Schaufele Ave
Suite 200
Long Beach, CA 90808-1791
Mailing address
17360 Brookhurst St
Attn: Credentialing Dept.
Fountain Valley, CA 92708-3720
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25796 | CA | MD | Dentist |
| G25796 | CA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorialcare Medical Foundation | Obstetrics & Gynecology | Current | Accepting new patients |
| Bristol Park Medical Group, Inc | Past | Accepting new patients |
Locations
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
2888 Long Beach Blvd
Ste 165
Long Beach, CA 90806
Phone (562) 595-5380
3828 Schaufele Ave
Ste 200
Long Beach, CA 90808
Phone (657) 241-8990
Organizations & group practices 2
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.
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
Obstetrics & Gynecology
-
- Family Medicine Physician
- Costa Mesa, CA
- NPI 1043266760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1306830211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17360 BROOKHURST ST",
"address_2": "ATTN: CREDENTIALING DEPT.",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3828 SCHAUFELE AVE",
"address_2": "SUITE 200",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908081791",
"telephone_number": "657-241-8990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTH",
"first_name": "MARTIN",
"middle_name": "W.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G25796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.