Active NPI
Uberto T Muzzarelli, MD
- Internal Medicine Physician
- Calexico, CA
National Provider Identifier
1710926472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G16266
- Practice address
- 450 East Birch Street
Calexico Helath Center
Calexico, CA 92231 - Phone
- (760) 768-6262
- Fax
- (760) 768-6292
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G16266 | CA | Primary |
Addresses
Primary practice location
450 East Birch Street
Calexico Helath Center
Calexico, CA 92231
Mailing address
605 West H Street
Advanced Medical Billing Suite 110
Brawley, CA 92227
Phone (760) 344-7976
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G162660 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1710926472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 WEST H STREET",
"address_2": "ADVANCED MEDICAL BILLING SUITE 110",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "92227",
"telephone_number": "760-344-7976",
"fax_number": "760-344-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 EAST BIRCH STREET",
"address_2": "CALEXICO HELATH CENTER",
"city": "CALEXICO",
"state": "CA",
"postal_code": "92231",
"telephone_number": "760-768-6262",
"fax_number": "760-768-6292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUZZARELLI",
"first_name": "UBERTO",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G16266",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G162660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Calexico, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.