Individual provider Active NPI

Nancy Nekesa Mutoro, M.D.

  • Hospitalist Physician
  • Salinas, CA
National Provider Identifier
1437492428
Registry record updated Aug 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A150058 Issued in CA
Practice address
450 E Romie LN
Salinas, CA 93901-4029
Phone
(831) 759-3257
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R3920 TX
Internal Medicine Physician 207R00000X A150058 CA
Hospitalist Physician 208M00000X A150058 CA Primary

Addresses

Primary practice location

450 E Romie LN
Salinas, CA 93901-4029

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 649-1000

Other practice location 1

136 N 3rd St
Lompoc, CA 93436
Phone (805) 736-1253

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ37313ZMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171011003573 CA Practitioner - HospitalistPractitioner - Internal Medicine 8527333848 Reassigns benefits to 2 organizations
I20191216000497 TX Practitioner - Internal Medicine 8527333848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Texas Southwestern Medical School at Dallas, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

450 E Romie LN
Salinas, CA 93901-4029
Phone (831) 759-3257

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A150058CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Svmhs Clinics CurrentSince Jun 12, 2023 Accepting new patients
MCH Professional Care Hospital Based Hospitalist CurrentSince Nov 1, 2019 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Nov 25, 2020 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Svmhs Clinics CurrentSince Jun 12, 2023 Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince May 15, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Lancelot O Alexander MD a Medical Corporation Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Organizations & group practices 9

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 2

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": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1437492428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-649-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E ROMIE LN",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939014029",
            "telephone_number": "831-759-3257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Lompoc",
            "state": "CA",
            "postal_code": "93436",
            "country_code": "US",
            "telephone_number": "805-736-1253",
            "fax_number": "805-736-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTORO",
        "first_name": "NANCY",
        "middle_name": "NEKESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2023-08-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R3920",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A150058",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A150058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ37313Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.