Active NPI
Alexander Mule, PA-C
- Physician Assistant
- Costa Mesa, CA
National Provider Identifier
1649744665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA56449
- Practice address
- 3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624 - Phone
- (714) 545-5550
- Fax
- (714) 708-2588
- NPI assigned
- Jan 12, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA56449 | CA | Primary |
Addresses
Primary practice location
3151 Airway Ave Ste G1
Costa Mesa, CA 92626-4624
Mailing address
1211 W la Palma Ave Ste 705
Anaheim, CA 92801-2814
Other practice location 1
1211 W La Palma Ave
Anaheim, CA 92801-2815
Phone (714) 313-3791
Other practice location 2
705 W La Veta Ave Ste 111
Orange, CA 92868-4447
Phone (714) 545-5550
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA56449 | CA | MD | Physician Assistant |
Interoperability endpoints
- alexmule@pnsi-ca.direct.office.nextgen.com
Organizations & group practices 1
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.
-
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- Newport Beach, CA
- NPI 1780050054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1649744665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE STE 705",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 AIRWAY AVE STE G1",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926264624",
"telephone_number": "714-545-5550",
"fax_number": "714-708-2588"
}
],
"practiceLocations": [
{
"address_1": "1211 W La Palma Ave",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928012815",
"country_code": "US",
"telephone_number": "714-313-3791",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "705 W La Veta Ave Ste 111",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928684447",
"country_code": "US",
"telephone_number": "714-545-5550",
"fax_number": "714-202-5555",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MULE",
"first_name": "ALEXANDER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-12",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA56449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.