Active NPI
Gubbi T Mruthyunjaya
- Primary Care Clinic/Center
- Mission Viejo, CA
National Provider Identifier
1558639815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A24744
- Legal business name
- GUBBI T MRUTHYUNJAYA
- Practice address
- 27800 Medical Center Rd
Suite 300
Mission Viejo, CA 92691-6049 - Phone
- (949) 364-2229
- Fax
- (949) 364-1104
- NPI assigned
- Dec 1, 2011
- Last updated
- Dec 19, 2011
- 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
- Alejandra Cornejo
- Title
- Biller
- Phone
- (949) 364-2229
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A24744 | CA | Primary |
Addresses
Primary practice location
27800 Medical Center Rd
Suite 300
Mission Viejo, CA 92691-6049
Mailing address
27800 Medical Center Rd
Suite 300
Mission Viejo, CA 92691-6049
Phone (949) 364-2229
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, and the practitioner matching its NPPES authorized official.
-
- Pediatric Nurse Practitioner
- Mission Viejo, CA
- NPI 1477890242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324252800000",
"number": "1558639815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD",
"address_2": "SUITE 300",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916049",
"telephone_number": "949-364-2229",
"fax_number": "949-364-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD",
"address_2": "SUITE 300",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916049",
"telephone_number": "949-364-2229",
"fax_number": "949-364-1104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GUBBI T MRUTHYUNJAYA",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-19",
"status": "A",
"authorized_official_last_name": "CORNEJO",
"authorized_official_first_name": "ALEJANDRA",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "949-364-2229"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "A24744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mission Viejo, CA
- Rochelle Blaire Greene, LCSW
- Gregory J Joy MD a Professional Corporation
- Gregory J Joy MD Acute Care Services Inc
- Sharon M. Gruber, PSY.D.
- Jennifer Brooke Grumet, M.D.
- Kristin Kay Guenther, LMFT
- Charlotte M Guerrero, M.S., CCC-SLP
- Evan Michael Guerrero, M.D.
- Joseph Vincent Guiliana, D.O.
- Satvinder Kaur Gujral, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.