Active NPI
Myrna Mousa, MD
- Pulmonary Disease Physician
- Loma Linda, CA
National Provider Identifier
1598458713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 11644
- Practice address
- 11234 Anderson St
Loma Linda, CA 92350-1716 - Phone
- (909) 558-4489
- NPI assigned
- Jun 1, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 11644 | CA | Primary |
Addresses
Primary practice location
11234 Anderson St
Loma Linda, CA 92350-1716
Mailing address
11234 Anderson St
Gme Office Ua-202
Loma Linda, CA 92350-1716
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)
- Not enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- mmousa446505@direct.cshs.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782432000000",
"number": "1598458713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"address_2": "GME OFFICE UA-202",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11234 ANDERSON ST",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923501716",
"telephone_number": "909-558-4489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSA",
"first_name": "MYRNA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-01",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "11644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loma Linda, CA
- Mountain View Child Care, Inc (Therapy 4 Kids)
- Mountain View Child Care, Inc. (Totally Kids Rehabilitation Hospital)
- Mountain View Child Care, Inc. (Elm Care Home)
- Mountain View Child Care, Inc. (Therapy 4 Kids)
- Mountain View Child Care, Inc. (Totally Kids Rehabilitation Hospital-DP-SNF)
- Katherine Jean Mower
- James A Moynihan, D.O.
- Elizabeth Wakio Mshila-Methu
- Jonathan J Mthombeni, M.D.,M.P.H.,F.A.A.P.
- Verah Keneilwe Mthombeni, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.