Suzanne Lynn McNulty, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A74237 Issued in CA

Practice address

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

Phone

(949) 206-0001

Fax

(949) 206-0011

NPI assigned

Oct 6, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Mia Bella Pediatrics

  • Pediatrics Physician
  • Mission Viejo, CA
  • NPI 1841492840
  NPD (past) Authorized official
• Mission Hospital Regional Medical Center

  • Rehabilitation Hospital
  • Mission Viejo, CA
  • NPI 1003956913
  NPD (past)
• Saddleback Memorial Medical Center

  • Rehabilitation Hospital Unit
  • Laguna Hills, CA
  • NPI 1114967114
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992892293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26161 LA PAZ RD",
            "address_2": "SUITE 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",
            "address_2": "SUITE 115",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926915317",
            "telephone_number": "949-206-0001",
            "fax_number": "949-206-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "SUZANNE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A74237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Randall McIlwain
• James McKeon
• Kelly McLaughlin
• Judith McLeod, NP
• Hailey Evelina McNeese
• Stephanie Ann McPherrin, LPCC
• Brad Scott McReynolds, ATC
• Aida Emily Medawar
• Charise Casiano Medeiros, MS, LMFT
• Medical Biowaste Solutions Inc.

• 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 Jul 8, 2007; 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.