Mulberry Medical Group, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MULBERRY MEDICAL GROUP, INC

Doing business as

PDQ Urgent Care and More

Practice address

7630 E Chapman Ave Ste B
Orange, CA 92869-8536

Phone

(714) 287-0459

Fax

(714) 699-9030

NPI assigned

Dec 7, 2022

Last updated

Dec 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathaniel Denicola, MD

Title

President

Phone

(714) 287-0459

Specialties & licenses 1

Addresses

Other names 1

• PDQ Urgent Care and More Doing business as

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1467163840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 E CHAPMAN AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928698536",
            "telephone_number": "714-287-0459",
            "fax_number": "714-699-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 E CHAPMAN AVE STE B",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928698536",
            "telephone_number": "714-287-0459",
            "fax_number": "714-699-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULBERRY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "DENICOLA",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-287-0459",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDQ Urgent Care and More",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Gregory Muhonen, MD
• Linda Ellis Muhonen, MD
• Michael Gordon Muhonen, MD
• Mukund Deshmukh MD Inc Apc
• Abinanda Mukundan, DO
• Jordan Muliaman
• Michael Patrick Mullaney, M.D.
• Matthew Mullarky, MD
• Jeffrey Mullen, MD
• Jose Antonio Mullen

• Urgent Care Clinic/Center in Orange, CA
• Providers in Orange, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.