NPIMap

Individual provider Active NPI

Jonah Nathaniel Mullens, DPM

  • Podiatrist
  • Redwood City, CA
National Provider Identifier
1356535736
Registry record updated Apr 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
4673 Issued in CA
Practice address
500 Arguello Street
Suite 100
Redwood City, CA 94063
Phone
(650) 851-4900
Fax
(650) 995-1218
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4673 CA
Foot Surgery Podiatrist 213ES0131X 4673 CA
Podiatrist 213E00000X 4673 CA Primary

Addresses

Primary practice location

500 Arguello Street
Suite 100
Redwood City, CA 94063

Mailing address

300 Pasteur Dr Ste 100
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080415000267 CA Practitioner - Podiatry 0648358754 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

420 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

450 Broadway St
Redwood City, CA 94063-3132
Phone (650) 723-4000

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue177
Removal or shaving of skin growth257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4673CAMDFoot & Ankle Surgery Podiatrist
4673CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Podiatry Group of San Carlos Podiatrist CurrentSince Oct 6, 2009 Accepting new patients
Verity Medical Foundation CurrentSince Jul 1, 2017 Accepting new patients
DCHS Medical Foundation CurrentSince Jul 1, 2017 Accepting new patients
Stanford Health Care CurrentSince Apr 3, 2019 Accepting new patients
Stanford Health Care CurrentSince Apr 3, 2019 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Apr 3, 2019 Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
O'Connor Hospital Past Accepting new patients
Sequoia Health Services Past Accepting new patients

Locations

25455 Medical Center Dr
Ste 200
Murrieta, CA 92562
Phone (951) 894-7056

7999 Gateway Blvd
Ste 200
Newark, CA 94560
Phone (510) 806-2947

1101 Welch Rd
Ste C6
Palo Alto, CA 94304
Phone (650) 320-9991

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

500 Arguello St
Ste 100
Redwood City, CA 94063
Phone (650) 581-4900

450 Broadway St
Fl 2
Redwood City, CA 94063
Phone (650) 498-3931

961 Laurel St
Ste 100
San Carlos, CA 94070
Phone (650) 593-8083

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Pasteur Dr
Ste 100
Stanford, CA 94305

Interoperability endpoints

  • Direct secure messaging: jmullens43077@direct.stanfordhealthcare.org

Organizations & group practices 10

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.

Hospital & facility affiliations 8

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714262400000",
    "number": "1356535736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR STE 100",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO STREET",
            "address_2": "SUITE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-851-4900",
            "fax_number": "650-995-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENS",
        "first_name": "JONAH",
        "middle_name": "NATHANIEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2024-04-28",
        "certification_date": "2024-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4673",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "4673",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "4673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.