Active NPI
Mukund Deshmukh MD Inc Apc
- Psychiatry Physician
- Orange, CA
National Provider Identifier
1508967381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A051789
- Legal business name
- MUKUND DESHMUKH MD INC APC
- Practice address
- 6143 E Cliffway Dr
Orange, CA 92869 - Phone
- (562) 866-1895
- Fax
- (562) 866-5730
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mukund V Deshmukh, MD
- Title
- Provider/Owner
- Phone
- (714) 401-4127
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A051789 | CA | Primary |
Addresses
Primary practice location
6143 E Cliffway Dr
Orange, CA 92869
Mailing address
39702 Kucera CT
Murrieta, CA 92563-5402
Phone (951) 677-0044
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A517891 | Other | CA | BLUE SHIELD |
| 00A517890 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Riverside, CA
- NPI 1205930377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678665600000",
"number": "1508967381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39702 KUCERA CT",
"city": "MURRIETA",
"state": "CA",
"postal_code": "925635402",
"telephone_number": "951-677-0044",
"fax_number": "951-677-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6143 E CLIFFWAY DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "92869",
"telephone_number": "562-866-1895",
"fax_number": "562-866-5730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUKUND DESHMUKH MD INC APC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2023-03-13",
"certification_date": "2023-03-13",
"status": "A",
"authorized_official_last_name": "DESHMUKH",
"authorized_official_first_name": "MUKUND",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "714-401-4127",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A051789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A517891",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A517890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.