Organization Active NPI

Deborah Mulligan, M.D., P.C.

  • Internal Medicine Physician
  • San Rafael, CA
National Provider Identifier
1740942507
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DEBORAH MULLIGAN, M.D., P.C.
Practice address
62 Inverness Dr
San Rafael, CA 94901-2418
Phone
(415) 894-5367
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Dr. Deborah Ann Mulligan, MD
Title
President
Phone
(415) 894-5367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

62 Inverness Dr
San Rafael, CA 94901-2418

Mailing address

62 Inverness Dr
San Rafael, CA 94901-2418
Phone (415) 894-5367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1740942507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 INVERNESS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012418",
            "telephone_number": "415-894-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 INVERNESS DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012418",
            "telephone_number": "415-894-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH MULLIGAN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-894-5367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.