Mia Bella Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A74237 Issued in NE

Legal business name

MIA BELLA PEDIATRICS

Practice address

26161 La Paz Rd Ste 115
Mission Viejo, CA 92691-5317

Phone

(949) 206-0001

Fax

(949) 206-0011

NPI assigned

Jun 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne Lynn McNulty, M.D.NPI 1992892293

Title

President

Phone

(949) 206-0001

Specialties & licenses 1

Addresses

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Lynn McNulty, M.D.

  • Pediatrics Physician
  • Mission Viejo, CA
  • NPI 1992892293
  NPD (past) Authorized official
• Dina Mustafa Alshunnaq, M.D.

  • Pediatrics Physician
  • Mission Viejo, CA
  • NPI 1265745756
  NPD (past)

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841492840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26161 LA PAZ RD STE 115",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915317",
            "telephone_number": "949-206-0001",
            "fax_number": "949-206-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26161 LA PAZ RD STE 115",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915317",
            "telephone_number": "949-206-0001",
            "fax_number": "949-206-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIA BELLA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNULTY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-206-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "A74237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Mesinkovska, M.D. PH.D.
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• Jane Meza
• Mi' Amore Personal Home Care, LLC
• Michael C Mai DDS, Inc.
• Michael D Cooper DDS Dental Corporation
• Michael D. Burdi, M.D. Inc
• Michael D. Cummings, M.D., Inc.
• Michael Gass, PH.D., a Psychological Corporation

• Pediatrics Physician in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.