Molina Healthcare of California

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MOLINA HEALTHCARE OF CALIFORNIA

Practice address

445 E. Anaheim St
Wilmington, CA 90744-4600

Phone

(310) 518-6146

Fax

(877) 469-1428

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Schueren

Title

V.P. Finance

Phone

(888) 562-5442

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Molina Healthcare of California

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1184738569

  O20061101000348

  Same enrollment
• Molina Healthcare of California

  • Health Maintenance Organization
  • Long Beach, CA
  • NPI 1194811760

  O20061101000348

  Same enrollment
• Molina Healthcare of California

  • Family Medicine Physician
  • Lancaster, CA
  • NPI 1508970955

  O20061101000348

  Same enrollment
• Molina Healthcare of California

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1669586020

  O20061101000348

  Same enrollment
• Molina Healthcare of California

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1750663191

  O20061101000348

  Same enrollment
• Molina Healthcare of California

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1861507006

  O20061101000348

  Same enrollment
• Molina Healthcare of California

  • Family Medicine Physician
  • Pomona, CA
  • NPI 1932214228

  O20061101000348

  Same enrollment

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512518400000",
    "number": "1497869887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE, SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-499-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E. ANAHEIM ST",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907444600",
            "telephone_number": "310-518-6146",
            "fax_number": "877-469-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA HEALTHCARE OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2017-12-06",
        "status": "A",
        "authorized_official_last_name": "SCHUEREN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "V.P. FINANCE",
        "authorized_official_telephone_number": "888-562-5442"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0042658",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fantaye Merid, M.D.
• Maria Yolanda Meza, PHARMD
• Thecla N. Mgbojirikwe, M.D.
• Katrina R Millet, LCSW, PHD
• Jimmy Dion Mitchell Jr.
• Ehsan Montazeri, MD
• Clarence Canlapan Monteclaro, MD, MBA
• Dionisio Maneja Montenegro, M.D.
• Dora Moreno
• Zahra Moridzadeh, PHARM D.

• Family Medicine Physician in Wilmington, CA
• Providers in Wilmington, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.