Individual provider Active NPI

Michael Gordon Muhonen, MD

  • Neurological Surgery Physician
  • Orange, CA
National Provider Identifier
1801804810
Registry record updated Mar 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G82059 Issued in CA
Practice address
1010 West la Veta Ave
Suite 710
Orange, CA 92868
Phone
(714) 835-2724
Fax
(714) 835-2751
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X G82059 CA Primary

Addresses

Primary practice location

1010 West la Veta Ave
Suite 710
Orange, CA 92868

Mailing address

1010 West la Veta Ave
Suite 710
Orange, CA 92868
Phone (714) 835-2724

Other identifiers 1

IdentifierTypeStateIssuer
00G820590MedicaidCA

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
I20090507000051 CA Practitioner - Pediatric MedicinePractitioner - Neurosurgery 8820985070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurosurgery
Education
Oral Roberts University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 579-6818

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G82059CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital of Orange County CurrentSince Oct 13, 2018 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Children'S Hospital of Orange County Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
West Coast Pediatric Neurosurgical Neurological Surgery PastSince Jan 23, 2003 Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Children'S Hospital at Mission Past Accepting new patients

Locations

455 S Main St
Orange, CA 92868
Phone (714) 289-4511

505 S Main St
Ste 300
Orange, CA 92868
Phone (714) 509-7070

1201 W La Veta Ave
Orange, CA 92868
Phone (714) 509-8481

Dept LA 21333
Pasadena, CA 91185

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268956800000",
    "number": "1801804810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 WEST LA VETA AVE",
            "address_2": "SUITE 710",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-835-2724",
            "fax_number": "714-835-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 WEST LA VETA AVE",
            "address_2": "SUITE 710",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "714-835-2724",
            "fax_number": "714-835-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHONEN",
        "first_name": "MICHAEL",
        "middle_name": "GORDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2010-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G82059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G820590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.