Active NPI
Mwanga Muranga Kazadi, M.D.
- Gynecology Physician
- Carmichael, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- A70218
- Practice address
- 6555 Coyle Ave
Carmichael, CA 95608-0302 - Phone
- (916) 536-2500
- NPI assigned
- Jul 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | A70218 | CA | Primary |
| Obstetrics Physician | 207VX0000X | A70218 | CA |
Addresses
Primary practice location
6555 Coyle Ave
Carmichael, CA 95608-0302
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A702180 | Other | CA | BLUE SHIELD |
| 102206 | Other | CA | HEALTH NET |
| 2361105 | Other | CA | UNITED HEALTHCARE |
| 00A702180 | Medicaid | CA | |
| 7382484 | Other | CA | AETNA |
| 98461 | Other | CA | INTERPLAN |
| 1671630 | Other | CA | GREAT WEST |
| 2130957 | Other | CA | FIRST HEALTH |
| 4387778 | Other | CA | CIGNA |
| 90136461 | Other | CA | PACIFICARE |
| MCMG459300 | Other | CA | WESTERN HEALTH ADVANTAGE |
| 000810771179 | Other | CA | PACIFICARE |
| A70218 | Other | CA | BLUE CROSS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Meharry Medical College School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A70218 | CA | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Providence Facey Medical Foundation | Current | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients | |
| Dignity Health | Past | Accepting new patients |
Locations
File 50670
Los Angeles, CA 90074
11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531
18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600
19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400
23803 McBean Pkwy
#201
Valencia, CA 91355
Phone (661) 481-2400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mkazadi2714634@oc.providencedirect.org
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Valencia, CA
- NPI 1710031588
-
- Multi-Specialty Clinic/Center
- Irvine, CA
- NPI 1891348447
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1487694857
-
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328832000000",
"number": "1942215736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 COYLE AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080302",
"telephone_number": "916-536-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZADI",
"first_name": "MWANGA",
"middle_name": "MURANGA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-30",
"last_updated": "2012-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "CA",
"license": "A70218",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "CA",
"license": "A70218",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A702180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "102206",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2361105",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A702180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7382484",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERPLAN",
"identifier": "98461",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1671630",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2130957",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4387778",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "90136461",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTERN HEALTH ADVANTAGE",
"identifier": "MCMG459300",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "000810771179",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "A70218",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.