Moses Takeshi Mukai Jr., D.O.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

20A-5527 Issued in CA

Practice address

19333 Bear Valley Rd
Suite 106
Apple Valley, CA 92308-5148

Phone

(760) 240-5505

Fax

(760) 245-5525

NPI assigned

Aug 10, 2007

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mmukai1373628@oc.providencedirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Female Pelvic Medicine and Reconstructive Surgery of the High Desert

  • Gynecology Physician
  • Apple Valley, CA
  • NPI 1134456627
  Authorized official Same address or phone
• St Mary Specialty Clinic

  • Obstetrics & Gynecology Physician
  • Apple Valley, CA
  • NPI 1588972806
  NPD (past) Authorized official
• Corwin Medical Group Inc Ipa

  • Exclusive Provider Organization
  • Apple Valley, CA
  • NPI 1821018433
  NPD (past)
• Providence Medical Foundation

  • Urology Physician
  • Apple Valley, CA
  • NPI 1053616706
  NPD (past)
• St. Mary Medical Center

  dba Providence St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)
• Victor Valley Community Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1952311953
  NPD (past)

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1629260948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY RD",
            "address_2": "SUITE 106",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085148",
            "telephone_number": "760-240-5505",
            "fax_number": "760-245-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 BEAR VALLEY RD",
            "address_2": "SUITE 106",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923085148",
            "telephone_number": "760-240-5505",
            "fax_number": "760-245-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKAI",
        "first_name": "MOSES",
        "middle_name": "TAKESHI",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A-5527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmukai1373628@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "19341 Bear Valley Rd Ste 105",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923085152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Moniue Capri Mose
• Alexis Michelle Mosley
• Jahyra Mouton
• Veronica Moya
• Craig R Mueller, M.D.
• Sana Bandulal Mulla, MD
• Shane Dale Mullikin
• Amber Mullinax, RN
• Asim Munawar, MD
• Alani Maureen Sablan Mundo

• Obstetrics & Gynecology Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.