Renato V Mungcal, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A42598 Issued in CA

Practice address

133 So Vermont Ave
Los Angeles, CA 90004-5904

Phone

(213) 480-0748

Fax

(213) 480-1661

NPI assigned

Apr 14, 2008

Last updated

Jul 20, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: rmungcal@rvmmd.adaptamed.direct-ci.com
• Direct secure messaging: rmungcal@saugusrvm.adaptamed.direct-ci.com

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.

• Renato V. Mungcal, M.D., Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1720550056
  Medicare reassignment NPD Authorized official
• Family Health Clinic Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1639604895
  Authorized official Same address or phone
• Renato V Mungcal, MD-a Medical Corporation

  dba Renato V Mungcal, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1003886847
  Authorized official Same address or phone
• Ahmc Monterey Park Hospital LP

  dba Monterey Park Hospital

  • General Acute Care Hospital
  • Monterey Park, CA
  • NPI 1780676221
  NPD (past)
• Cha Hollywood Medical Center, LP

  dba Hollywood Presbyterian Medical Center

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1922033547
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1750555413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 SO VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904",
            "telephone_number": "213-480-0748",
            "fax_number": "213-480-1661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 SO VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900045904",
            "telephone_number": "213-480-0748",
            "fax_number": "213-480-1661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNGCAL",
        "first_name": "RENATO",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A425980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Josefina Muneton
• Elizabeth Muney, AMFT
• Sharon Nicole Munfus, CRNA
• Margaret Wairimu Mungai
• Adonis Ramos Mungcal, DDS
• Sarah Munguia-Abriola
• Veronica Munguia-Guizar
• Christina Munguia
• Danielle Munguia
• Hazel Mellonie Munguia

• Family Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.