Organization Active NPI

Harvinder Mundh MD Corporation

  • Pain Clinic/Center
  • San Rafael, CA
National Provider Identifier
1467681247
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
A89296 Issued in CA
Legal business name
HARVINDER MUNDH MD CORPORATION
Practice address
4000 Civic Center Dr Ste 205
San Rafael, CA 94903-5233
Phone
(415) 492-1600
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Harvinder Mundh, M.D.
Title
Physician
Phone
(916) 295-9726

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X A89296 CA
Pain Clinic/Center 261QP3300X A89296 CA Primary

Addresses

Primary practice location

4000 Civic Center Dr Ste 205
San Rafael, CA 94903-5233

Mailing address

2271 Abby Rd
Rocklin, CA 95765-4621
Phone (916) 295-9726

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1467681247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 ABBY RD",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654621",
            "telephone_number": "916-295-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 CIVIC CENTER DR STE 205",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949035233",
            "telephone_number": "415-492-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVINDER MUNDH MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "MUNDH",
        "authorized_official_first_name": "HARVINDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "916-295-9726",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A89296",
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A89296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.