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JEFFRY A MULLVAIN MD INC
NPI 1700190642
Internal Medicine - Cardiovascular Disease in San Diego, CA

Active since August 03, 2010
4060 FOURTH AVE, SUITE 500, SAN DIEGO, CA 92103(619) 260-1900(619) 260-1919 Get Directions Write a Review

NPPES record last updated: August 3, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffry A Mullvain Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFRY A MULLVAIN MD INC (NPI 1700190642) is a healthcare organization registered as a cardiovascular disease in San Diego, California and active in the NPI registry since August 2010. The organization lists Jeffry A Mullvain, Physician/president, as its authorized official.

NPPES Registry Identity

NPI1700190642
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameJEFFRY A MULLVAIN MD INC
Location Address4060 FOURTH AVE, SUITE 500San Diego, CA 92103-2116
Mailing Address4060 Fourth Ave, Suite 500San Diego, CA 92103-2116 · (619) 260-1900 · Fax (619) 260-1900
Phone(619) 260-1900
Fax(619) 260-1919
Organization SubpartNo
Authorized OfficialJeffry A MullvainPhysician/president · (619) 260-1900
Enumeration DateAugust 3, 2010
✔ NPI 1700190642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in CA · G57253
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
4060 FOURTH AVE, San Diego, CA 92103
Open in Google Maps ↗

Other Identifiers 3

MedicaidG572530CA
Medicare UPINE04649CA
Medicare PINW18786CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeffry A Mullvain Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeffry A Mullvain MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeffry Mullvain, MD
Cardiovascular Disease (Cardiology)
NPI 1467557454
4060 FOURTH AVENUE SUITE 500
San Diego, CA 92103
(619) 260-1900
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffry A Mullvain MD Inc's NPI number?

The NPI number for Jeffry A Mullvain MD Inc is 1700190642. It was assigned to this organization in the NPPES registry on August 3, 2010.

Where is Jeffry A Mullvain MD Inc located?

Jeffry A Mullvain MD Inc is located at 4060 Fourth Ave Suite 500, San Diego, CA 92103. The listed phone number is (619) 260-1900.

What is Jeffry A Mullvain MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Jeffry A Mullvain MD Inc enrolled in Medicare?

Yes. Jeffry A Mullvain MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeffry A Mullvain MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Jeffry A Mullvain MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jeffry A Mullvain MD Inc was last updated on August 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.