Merdina Mustedanagic, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

51893 Issued in CA

Practice address

260 E Holt Ave
Pomona, CA 91767-5426

Phone

(909) 629-8088

NPI assigned

Sep 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Gem Medical Group Corporation

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1689364721
  Medicare reassignment NPD
• East Valley Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Whittier, CA
  • NPI 1346287430
  Medicare reassignment
• Glendale Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Glendale, CA
  • NPI 1588606834
  Medicare reassignment
• Golden West Emergency Medical Associates, Inc

  • Emergency Medicine Physician
  • Monterey Park, CA
  • NPI 1053680298
  Medicare reassignment
• Michael S. Agron, M.D., Inc.

  • Emergency Medicine Physician
  • Arcadia, CA
  • NPI 1699716100
  Medicare reassignment

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1669873584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 W FAIRVIEW AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912023706",
            "telephone_number": "423-316-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 E HOLT AVE",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917675426",
            "telephone_number": "909-629-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTEDANAGIC",
        "first_name": "MERDINA",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "51893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Anne Murphy
• Kannan Murthy
• Abrahim Abdul Mustafa, D.D.S.
• Alfred Mustafa, DDS
• Shaquana Mustafa, MS
• Muthusamy Muthiah, MD
• MVP Smiles, a Dental Corporation by Katerina Kleinova DDS (MVP Smiles)
• Marion Mwaniki
• Leena Nabipur
• Steven Naddaf

• Physician Assistant in Pomona, CA
• Providers in Pomona, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.

Verify at the official NPI Registry.