Individual provider Active NPI

Maureen Ann Fleming-Mullins

  • Medical Physician Assistant
  • Escondido, CA
National Provider Identifier
1558459941
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA13450 Issued in CA
Practice address
1121 E Washington Ave
Escondido, CA 92025-2214
Phone
(760) 871-0606
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA13450 CA
Medical Physician Assistant 363AM0700X PA13450 CA Primary

Addresses

Primary practice location

1121 E Washington Ave
Escondido, CA 92025-2214

Mailing address

1825 Sunrise Dr
Vista, CA 92084-6426

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13450CAMDNeurology Chiropractor
PA13450CAMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: mfleming-mullins@borregomedical.directbygreenway.com

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1558459941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SUNRISE DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920846426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 E WASHINGTON AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252214",
            "telephone_number": "760-871-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMING-MULLINS",
        "first_name": "MAUREEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA13450",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA13450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.