Christina Marie Mullican, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NP15077 Issued in CA

Practice address

4440 Brockton Ave
Suite 420
Riverside, CA 92501-3901

Phone

(909) 684-8020

Fax

(951) 684-8090

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Marie Bishop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Mario Carcamo MD Inc

  • Specialist
  • Riverside, CA
  • NPI 1821271412
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232582400000",
    "number": "1942314018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 COTTAGE CT",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925716913",
            "telephone_number": "951-684-8020",
            "fax_number": "951-684-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 BROCKTON AVE",
            "address_2": "SUITE 420",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013901",
            "telephone_number": "909-684-8020",
            "fax_number": "951-684-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLICAN",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2009-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "NP15077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "BISHOP",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Mulherin
• Kenton Paul Muller
• Lorena Rosa Muller, MSHSA
• Paige A Muller
• Sheila Ann Muller, DDS, MS.
• Elizabeth Mullin, LCSW
• Lucy Mulyatno
• Diego Muneton
• Jenny Muniz
• Lorena Muniz

• Pediatric Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.