Individual provider Active NPI

Netanya M Mullen, DO

  • Neonatal-Perinatal Medicine Physician
  • Redding, CA
National Provider Identifier
1679079081
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
20A17694 Issued in CA
Practice address
1755 Court St
Redding, CA 96001-1721
Phone
(530) 247-8800
Fax
(530) 241-1174
NPI assigned
Apr 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 20A17694 CA Primary

Addresses

Primary practice location

1755 Court St
Redding, CA 96001-1721

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

Other practice location 1

2175 Rosaline Ave
Redding, CA 96001-2549
Phone (530) 638-3211

Other practice location 2

1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-2321

Other practice location 3

Msc10 5590 1 University Of New Mexico
Albuquerque, NM 87131-2804
Phone (505) 272-8955

Other practice location 4

11234 Anderson Street
GME Office Westerly Suite C
Loma Linda, CA 92354-2804
Phone (909) 558-6202

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
I20240826001715 CA Practitioner - Pediatric MedicinePractitioner - Hospitalist 8325491822 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A17694CAMDNeonatal-Perinatal Medicine Physician
17694CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Jul 6, 2025 Accepting new patients
Netanya Mullen DO Inc Neonatal-Perinatal Medicine CurrentSince Jul 1, 2024 Accepting new patients

Locations

220 Standiford Ave
Ste F
Modesto, CA 95350
Phone (209) 589-1500

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

1755 Court St
Redding, CA 96001
Phone (530) 241-8633

2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

Organizations & group practices 3

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": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1679079081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 COURT ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960011721",
            "telephone_number": "530-247-8800",
            "fax_number": "530-241-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2175 Rosaline Ave",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960012549",
            "country_code": "US",
            "telephone_number": "530-638-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871310001",
            "country_code": "US",
            "telephone_number": "505-272-2321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Msc10 5590 1 University Of New Mexico",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871312804",
            "country_code": "US",
            "telephone_number": "505-272-8955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11234 Anderson Street",
            "address_2": "GME Office Westerly Suite C",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923542804",
            "country_code": "US",
            "telephone_number": "909-558-6202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "NETANYA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CA",
            "license": "20A17694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.