Active NPI
Debora B Munoz, M.A., COM
- Specialist
- Bonita, CA
National Provider Identifier
1508100462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 137-C-06
- Practice address
- 591 Pineridge CT
Bonita, CA 91902-4219 - Phone
- (619) 421-7251
- Fax
- (619) 421-6824
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 137-C-06 | CA | Primary |
Addresses
Primary practice location
591 Pineridge CT
Bonita, CA 91902-4219
Mailing address
591 Pineridge CT
Bonita, CA 91902-4219
Phone (619) 421-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137-C-06 | Other | CA | INTERNATIONAL ASSOCIATION OF OROFACIAL MYOLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 137-C-06 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1508100462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "591 PINERIDGE CT",
"city": "BONITA",
"state": "CA",
"postal_code": "919024219",
"telephone_number": "619-421-7251",
"fax_number": "619-421-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "591 PINERIDGE CT",
"city": "BONITA",
"state": "CA",
"postal_code": "919024219",
"telephone_number": "619-421-7251",
"fax_number": "619-421-6824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ",
"first_name": "DEBORA",
"middle_name": "B",
"credential": "M.A., COM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "137-C-06",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL ASSOCIATION OF OROFACIAL MYOLOGY",
"identifier": "137-C-06",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.