MRS. LAUREL JILL MULLALLY N.P.
NPI 1750500104
Nurse Practitioner - Family in Chino, CA

Q: What is Laurel Mullally's NPI number?

The NPI number for Laurel Mullally is 1750500104. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Laurel Mullally's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Laurel Mullally was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 24, 2007PECOS Enrolled

5130 RIVERSIDE DR, CHINO, CA 91710(909) 628-1201(909) 062-8671 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Laurel Jill Mullally N.p. NPPES

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

MRS. LAUREL JILL MULLALLY N.P. (NPI 1750500104) is an individual family provider in Chino, California, licensed in California (410836) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750500104

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LAUREL JILL MULLALLYCredential: N.P.

Location Address5130 RIVERSIDE DRChino, CA 91710-4130

Mailing Address2212 Camino Del SolFullerton, CA 92833-1321 · (909) 628-1201 · Fax (909) 628-6712

Phone(909) 628-1201

Fax(909) 062-8671

Sole ProprietorNo

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1750500104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 410836

5130 RIVERSIDE DR, Chino, CA 91710

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Laurel Jill Mullally N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

CHINO UNIFIED SCHOOL DISTRICT

Local Education Agency (LEA)