Munyon Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A30666 Issued in CA

Legal business name

MUNYON DERMATOLOGY

Practice address

215 N San Mateo Dr Ste 1
Suite1
San Mateo, CA 94401-2674

Phone

(650) 579-7277

Fax

(650) 579-3745

NPI assigned

Feb 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Thomas George Munyon, M.D.

Title

Owner

Phone

(650) 579-7277

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alexandra Alabata Ingram, P.A.

  • Surgical Physician Assistant
  • Walnut Creek, CA
  • NPI 1063761500
  NPD (past)

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

{
    "created_epoch": "1329868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1437422391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR STE 1",
            "address_2": "SUITE1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012674",
            "telephone_number": "650-579-7277",
            "fax_number": "650-579-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N SAN MATEO DR STE 1",
            "address_2": "SUITE1",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012674",
            "telephone_number": "650-579-7277",
            "fax_number": "650-579-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNYON DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-22",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "MUNYON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-579-7277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A30666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Rebecca Mullnix
• Ana Mummah, MD
• Rachel Munoz
• Michelle D Munroe
• Steven R Munson, MFT
• Nicole Akane Muranaga, DPT
• Ann-Marie Murphy
• Bonnie Murphy, D.D.S.
• Elizabeth Lynn Murphy, MD
• Kiera Murphy

• Dermatology Physician in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.