Individual provider Active NPI

Mukhtair Singh Kundi, MD

  • Neurology Physician
  • West Covina, CA
National Provider Identifier
1821158775
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A41283 Issued in CA
Practice address
1740 W Cameron Ave
Ste 110
West Covina, CA 91790-2719
Phone
(626) 960-1402
Fax
(626) 337-7651
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A41283 CA Primary

Addresses

Primary practice location

1740 W Cameron Ave
Ste 110
West Covina, CA 91790-2719

Mailing address

1740 W Cameron Ave
Ste 110
West Covina, CA 91790-2719
Phone (626) 960-1402

Other identifiers 3

IdentifierTypeStateIssuer
00A412831MedicaidCA
130002834OtherCARAILROAD MEDICARE
2762110OtherCAFOREIGN MED GRA

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
I20050718000093 CA Practitioner - Neurology 1557397916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 W Route 66
Suite 216
Glendora, CA 91740-6251
Phone (626) 960-1402

2895 N Towne Ave
Pomona, CA 91767-2009
Phone (626) 960-1402

Hospital & facility affiliations

  • Emanate Health Inter-Community Hospital Hospital, Covina, CA, CCN 050382
  • Emanate Health Foothill Presbyterian Hospital Hospital, Glendora, CA, CCN 050597

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A41283CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mukhtair Singh Kundi, M.D., Inc., a Medical Corporation CurrentSince May 21, 2011 Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Pinnacle Medical Group, Inc. Past Accepting new patients
The Neurology Group Inc Neurology Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Foothill Presbyterian Hospital Past Accepting new patients
Abington Memorial Hospital Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Doctors Hospital of West Covina, Inc. Past Accepting new patients
San Dimas Community Hospital, Inc. Past Accepting new patients

Locations

130 W Route 66
Ste 216
Glendora, CA 91740
Phone (626) 335-7800

415 W Carroll Ave
Ste 203
Glendora, CA 91741
Phone (626) 335-6681

2895 N Towne Ave
Pomona, CA 91767
Phone (909) 267-7495

8221 Rochester Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 484-3400

8221 Rochester Ave
Rancho Cucamonga, CA 91730
Phone (909) 484-9051

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

1740 W Cameron Ave
Ste 110
West Covina, CA 91790
Phone (626) 960-1402

1900 W Garvey Ave S
Ste 166
West Covina, CA 91790
Phone (626) 960-1402

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mukhtair.kundi.1@29399.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1821158775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W CAMERON AVE",
            "address_2": "STE 110",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902719",
            "telephone_number": "626-960-1402",
            "fax_number": "626-337-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W CAMERON AVE",
            "address_2": "STE 110",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902719",
            "telephone_number": "626-960-1402",
            "fax_number": "626-337-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDI",
        "first_name": "MUKHTAIR",
        "middle_name": "SINGH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A41283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A412831",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130002834",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOREIGN MED GRA",
            "identifier": "2762110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.