MUDIT MATHUR M.D.
NPI 1710900402
Pediatrics - Pediatric Critical Care Medicine in Loma Linda, CA

Q: What is Mudit Mathur's NPI number?

The NPI number for Mudit Mathur is 1710900402. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Mudit Mathur's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Mudit Mathur was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 25, 2006PECOS Enrolled

11370 ANDERSON ST, STE B-100, LOMA LINDA, CA 92354(909) 558-2848 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Mudit Mathur M.d. NPPES

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

MUDIT MATHUR M.D. (NPI 1710900402) is an individual pediatric critical care medicine provider in Loma Linda, California, licensed in California (C51545) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710900402

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameMUDIT MATHURCredential: M.D.

Location Address11370 ANDERSON ST, STE B-100Loma Linda, CA 92354-3450

Mailing Address1333 S Mayflower Ave, 2nd FloorMonrovia, CA 91016-4066 · (626) 775-3514 · Fax (626) 408-3911

Phone(909) 558-2848

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateNovember 29, 2021

✔ NPI 1710900402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · C51545

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License C51545 (CA)

11370 ANDERSON ST, Loma Linda, CA 92354

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Other Identifiers 1

Medicaid00C515450CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mudit Mathur M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mudit Mathur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group

10.0 mi

Health Maintenance Organization

9961 SIERRA AVE
Fontana, CA 92335

Reassigned Medicare billing, California enrollment
Also billed through NPI 1952333460 (California)
5,228 clinicians in this Medicare group

NPI 1689606196 (909) 427-3910

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA VILLAFRANCO

Social Worker (Clinical)

11370 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-5978

JOHN Y KIM M.D.

Otolaryngology

11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2822

EDMUND YUEY KUN KO M.D.

Urology

11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2830

SNORRI OLAFSSON M.D.

Internal Medicine (Gastroenterology)

11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2191

SIGVE K. TONSTAD M.D.

Internal Medicine

11370 ANDERSON ST
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2870

KHASHAYAR DASHTIPOUR M.D.

Psychiatry & Neurology (Neurology)

11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2880

DOUGLAS DEMING M.D.

Pediatrics (Neonatal-Perinatal Medicine)

11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2848

ABEL TORRES M.D.

Dermatology (MOHS-Micrographic Surgery)

11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354

San Bernardino County (909) 558-2055

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 Mudit Mathur's NPI number?

The NPI number for Mudit Mathur is 1710900402. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Mudit Mathur located?

Mudit Mathur practices at 11370 Anderson St Ste B-100, Loma Linda, CA 92354. The listed phone number is (909) 558-2848.

What is Mudit Mathur's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Mudit Mathur enrolled in Medicare?

Yes. Mudit Mathur is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mudit Mathur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mudit Mathur reassigns Medicare benefits to Southern California Permanente Medical Group (Fontana, CA). The 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 Mudit Mathur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mudit Mathur was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.