Individual provider Active NPI

Neomal Muthumala, DO

  • Family Medicine Physician
  • Claremont, CA
National Provider Identifier
1619464682
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A19087 Issued in CA
Practice address
1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600
Phone
(909) 865-9977
Fax
(909) 469-2119
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 20A19087 CA Primary

Addresses

Primary practice location

1601 Monte Vista Ave Ste 190
Claremont, CA 91711-6600

Mailing address

1601 Monte Vista Ave Ste 260
Claremont, CA 91711-6604
Phone (909) 865-9501

Other practice location 1

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

Other practice location 2

1851 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 874-2371

Other practice location 3

3110 Chino Ave Ste 150B
Chino Hills, CA 91709-1295
Phone (909) 630-7868

Other practice location 4

2333 Foothill Blvd Ste C
LA Verne, CA 91750-3027
Phone (909) 392-6511

Other identifiers 1

IdentifierTypeStateIssuer
1619464682MedicaidCA

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
I20230131001342 CA Practitioner - Family Practice 1658611348 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Touro Un Col of Osteopathic Medicine, New York, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Medical Group P CGroup PAC ID 0547164295, 251 clinicians
Pinnacle Medical Group IncGroup PAC ID 4880667609, 19 clinicians

Practice addresses (Care Compare)

1700 N Waterman Ave
San Bernardino, CA 92404-5115
Phone (909) 883-8611

1851 N Riverside Ave
Rialto, CA 92376-8069
Phone (909) 421-2700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A19087CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Redlands Family Physicians Medical Associates, Inc. Family Medicine Current Accepting new patients
Redlands Family Practice Medical Group Inc. Family Medicine CurrentSince Jan 9, 2023 Accepting new patients
Centers for Family Medicine GP Family Medicine Current Accepting new patients
Beaver Medical Group P C CurrentSince Mar 1, 2023 Accepting new patients
Beaver Medical Group P C Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Pinnacle Medical Group, Inc Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Pinnacle Medical Group, Inc Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Beaver Medical Group P C Family Medicine Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients
Premier Family Medicine Associates, Inc Family Medicine Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

2910 Jefferson St
Ste 100
Carlsbad, CA 92008
Phone (760) 729-8600

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

1520 Barton Rd
Redlands, CA 92373
Phone (909) 793-3208

1851 N Riverside Ave
Rialto, CA 92376
Phone (909) 421-2700

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

Interoperability endpoints

  • Direct secure messaging: nmuthamala22033@epiclp.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1619464682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 260",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116604",
            "telephone_number": "909-865-9501",
            "fax_number": "909-469-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MONTE VISTA AVE STE 190",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917116600",
            "telephone_number": "909-865-9977",
            "fax_number": "909-469-2119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N Waterman Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924045115",
            "country_code": "US",
            "telephone_number": "909-883-8611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1851 N Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Rialto",
            "state": "CA",
            "postal_code": "923768069",
            "country_code": "US",
            "telephone_number": "909-874-2371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 Chino Ave Ste 150B",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917091295",
            "country_code": "US",
            "telephone_number": "909-630-7868",
            "fax_number": "909-469-2109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2333 Foothill Blvd Ste C",
            "address_purpose": "LOCATION",
            "city": "LA Verne",
            "state": "CA",
            "postal_code": "917503027",
            "country_code": "US",
            "telephone_number": "909-392-6511",
            "fax_number": "909-469-2137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUTHUMALA",
        "first_name": "NEOMAL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A19087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619464682",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

Verify at the official NPI Registry.