Mobile Health Providers, a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MOBILE HEALTH PROVIDERS, A PROFESSIONAL CORPORATION

Practice address

317 W la Habra Blvd Ste 201
La Habra, CA 90631-5497

Phone

(562) 686-2015

Fax

(562) 381-9349

NPI assigned

Feb 9, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Wyzscx Merfil Patacxil, MDNPI 1932543675

Title

President

Phone

(562) 686-2015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wyzscx Merfil Patacxil, M.D.

  • Surgery Physician
  • El Segundo, CA
  • NPI 1932543675
  Medicare reassignment NPD Authorized official
• Raelene Zospah, MD

  • Surgery Physician
  • El Segundo, CA
  • NPI 1710392253
  Medicare reassignment NPD

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1366034456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W LA HABRA BLVD STE 201",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315497",
            "telephone_number": "562-686-2015",
            "fax_number": "562-381-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W LA HABRA BLVD STE 201",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906315497",
            "telephone_number": "562-686-2015",
            "fax_number": "562-381-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH PROVIDERS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "PATACXIL",
        "authorized_official_first_name": "WYZSCX",
        "authorized_official_middle_name": "MERFIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-686-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in La Habra, CA
• Providers in La Habra, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.