Individual provider Active NPI

Alexander Mule, PA-C

  • Physician Assistant
  • Costa Mesa, CA
National Provider Identifier
1649744665
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA56449 Issued in CA
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

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190626000788 CA Practitioner - Physician Assistant 0345574281 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA56449CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.