Active NPI
Michael Thomas Mumford, M.D.
- Cardiovascular Disease Physician
- Santa Ana, CA
National Provider Identifier
1982674305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G36179
- Practice address
- 2740 S Bristol St
Suite 216
Santa Ana, CA 92704-6209 - Phone
- (714) 540-1924
- Fax
- (714) 540-6302
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G36179 | CA | Primary |
Addresses
Primary practice location
2740 S Bristol St
Suite 216
Santa Ana, CA 92704-6209
Mailing address
3617 S Timber St
Santa Ana, CA 92707-4947
Phone (714) 540-1924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yong W Chung MD a Medical Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Gastroenterology Physician
- Santa Ana, CA
- NPI 1689731309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417996800000",
"number": "1982674305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3617 S TIMBER ST",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927074947",
"telephone_number": "714-540-1924",
"fax_number": "714-540-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2740 S BRISTOL ST",
"address_2": "SUITE 216",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927046209",
"telephone_number": "714-540-1924",
"fax_number": "714-540-6302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMFORD",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2014-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G36179",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.