Active NPI
Maureen Ann Fleming-Mullins
- Medical Physician Assistant
- Escondido, CA
National Provider Identifier
1558459941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA13450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 13450 | CA | MD | Neurology Chiropractor |
| PA13450 | CA | MD | Medical Physician Assistant |
Interoperability endpoints
- 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.