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 with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

On this page

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

Open in Google Maps ↗

Other Identifiers 1

Medicaid00C515450CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Leave this field empty