MP Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

101308 Issued in CA

Legal business name

MP MEDICAL INC

Practice address

6559 Edmonton Ave
San Diego, CA 92122-2514

Phone

(858) 449-0131

Fax

(858) 866-0688

NPI assigned

Aug 29, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Madelyn C Phillips

Title

President MP Medical Inc

Phone

(858) 449-0131

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1922116920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6559 EDMONTON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222514",
            "telephone_number": "858-449-0131",
            "fax_number": "858-866-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6559 EDMONTON AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921222514",
            "telephone_number": "858-449-0131",
            "fax_number": "858-866-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT MP MEDICAL INC",
        "authorized_official_telephone_number": "858-449-0131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9055021",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9056987",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN MEDICAID",
            "identifier": "41698600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02029F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Chemiati Moyo, M.D.
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• Joyce Mu
• Xusheng Mu, D.D.S.
• Steven Anthony Muawad

• Durable Medical Equipment & Medical Supplies in San Diego, CA
• Providers in San Diego, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.