Jeffry a Mullvain MD Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

G57253 Issued in CA

Legal business name

JEFFRY A MULLVAIN MD INC

Practice address

4060 Fourth Ave
Suite 500
San Diego, CA 92103-2116

Phone

(619) 260-1900

Fax

(619) 260-1919

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Jeffry A Mullvain, MD

Title

Physician/President

Phone

(619) 260-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey A Mullvain, MD

  • Cardiovascular Disease Physician
  • San Diego, CA
  • NPI 1467557454
  Medicare reassignment NPD
• Emily Dyson Scott, MD

  • Cardiovascular Disease Physician
  • San Diego, CA
  • NPI 1003910456
  NPD

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1700190642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE",
            "address_2": "SUITE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-260-1900",
            "fax_number": "619-260-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 FOURTH AVE",
            "address_2": "SUITE 500",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032116",
            "telephone_number": "619-260-1900",
            "fax_number": "619-260-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFRY A MULLVAIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "MULLVAIN",
        "authorized_official_first_name": "JEFFRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "619-260-1900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G57253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G572530",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zara Jeffrey, C.M.T
• Jacob A Jeffreys, IDC
• Janette Jeffries-Nealy
• Ashley Nicole Jeffries
• Mason Thaine Trenton Jeffries, SFIDC
• Jeffry S Hays DC a Chiropractic Corporation
• Keni O. Jegede, FNP-BC
• Amreen Anam Jehtara, MS
• Abdisamia Jeilani
• Safia A Jeilani, MSW

• Cardiovascular Disease Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.