Individual provider Active NPI

Christine Mary Mlot, M.D.

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1538240239
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G48161 Issued in CA
Practice address
3401 W. Sunflower Ave.
Suite 250
Santa Ana, CA 92704-6948
Phone
(714) 619-8777
Fax
(714) 619-8770
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G48161 CA Primary

Addresses

Primary practice location

3401 W. Sunflower Ave.
Suite 250
Santa Ana, CA 92704-6948

Mailing address

3401 W. Sunflower Ave.
Suite 250
Santa Ana, CA 92704-6948
Phone (714) 619-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000408 CA Practitioner - General Practice 5193788685 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48161CAMDMarriage & Family Therapist
G48161CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Partners California Medical PC CurrentSince Jul 1, 2025 Accepting new patients
Careconnectmd Ca PC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
GN Medical Associates, Inc. Family Medicine CurrentSince Dec 31, 2015 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

11440 W Bernardo Ct
Ste 300
San Diego, CA 92127
Phone (760) 884-4729

1750 Montgomery St
Fl 1
San Francisco, CA 94111
Phone (714) 619-8777

3401 W Sunflower Ave
#250
Santa Ana, CA 92704
Phone (415) 848-8258

3401 W Sunflower Ave
Ste 250
Santa Ana, CA 92704
Phone (714) 619-8777

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1538240239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W. SUNFLOWER AVE.",
            "address_2": "SUITE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046948",
            "telephone_number": "714-619-8777",
            "fax_number": "714-619-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W. SUNFLOWER AVE.",
            "address_2": "SUITE 250",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046948",
            "telephone_number": "714-619-8777",
            "fax_number": "714-619-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLOT",
        "first_name": "CHRISTINE",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G48161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.