Individual provider Active NPI

Andrew Muller, MD

  • Internal Medicine Physician
  • Pasadena, CA
National Provider Identifier
1710031893
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G57401 Issued in CA
Practice address
301 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2561
Phone
(626) 585-4500
NPI assigned
Jan 23, 2007
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G57401 CA Primary

Addresses

Primary practice location

301 S Fair Oaks Ave
Suite 101
Pasadena, CA 91105-2561

Mailing address

301 S Fair Oaks Ave
Suite 300
Pasadena, CA 91105-2561
Phone (626) 795-7556

Other identifiers 1

IdentifierTypeStateIssuer
W14920BMedicaidCA

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
I20041129000377 CA Practitioner - Internal Medicine 5496657967 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57401CAMDPharmacist
G57401CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Oct 22, 2007 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Oct 22, 2007 Accepting new patients
Usc Care Medical Group, Inc Past Accepting new patients

Locations

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

1025 W Olympic Blvd
Los Angeles, CA 90015
Phone (213) 623-2225

301 S Fair Oaks Ave
Ste 101
Pasadena, CA 91105
Phone (626) 296-2910

301 S Fair Oaks Ave
Ste 300
Pasadena, CA 91105
Phone (626) 795-7556

401 S Fair Oaks Ave
Pasadena, CA 91105
Phone (323) 720-1144

601 Torrance Blvd
#1182
Redondo Beach, CA 90277

Interoperability endpoints

  • Direct secure messaging: andrewmuller@hcpca.allscriptsdirect.net

Organizations & group practices 5

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1710031893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE 300",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-795-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S FAIR OAKS AVE",
            "address_2": "SUITE 101",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052561",
            "telephone_number": "626-585-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G57401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "W14920B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.