Individual provider Active NPI

Joseph Molina, MD

  • Internal Medicine Physician
  • Charter TWP of Clinton, MI
National Provider Identifier
1689195307
Registry record updated Aug 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A171025 Issued in CA
Practice address
15855 19 Mile Rd
Charter TWP of Clinton, MI 48038
Phone
(586) 263-2972
NPI assigned
Jul 3, 2017
Last updated
Aug 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X A171025 CA Primary

Addresses

Primary practice location

15855 19 Mile Rd
Charter TWP of Clinton, MI 48038

Mailing address

446 Alta Rd # 5300
San Diego, CA 92158-0001

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
I20210126000388 CA Practitioner - Internal Medicine 7810260973 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171025CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansal Inc Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Palomar Hospitalist Medical Group, Inc CurrentSince Aug 1, 2021 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Pairtu Health Medical Group of California P.C. CurrentSince Sep 1, 2024 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

1426 Montana Ave
Ste 2
Santa Monica, CA 90403
Phone (310) 388-6798

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 264-2561

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

6080 Center Dr
Fl 6
Westchester, CA 90045
Phone (669) 231-6870

Interoperability endpoints

  • Direct secure messaging: jmolina465306@direct.hfhs.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630195200000",
    "number": "1689195307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446 ALTA RD # 5300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921580001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 19 MILE RD",
            "city": "CHARTER TWP OF CLINTON",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-08-29",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A171025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charter TWP of Clinton, MI

Sources for this page

Verify at the official NPI Registry.