Moothedath A Menon
Moothedath A Menon is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Apple Valley, CA, holding Type 2 (organization) NPI 1477572675 since 2006. The authorized official on file is Moothedath Menon, Physician.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477572675 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Moothedath A Menon |
| Other name | <Unavail> |
| Practice address | 18056 WIKA RD, SUITE A, Apple Valley, CA, 92307 |
| Phone | 7602421090 |
| Fax | 7602471415 |
| Enumeration date | 2006-07-19 |
| Last updated in NPPES | 2008-10-15 |
Authorized official
| Name | Moothedath Menon |
|---|---|
| Title | Physician |
| Phone | 7602421090 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | A41105 | CA |
Copy-ready billing details
Provider: Moothedath A Menon NPI: 1477572675 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 18056 WIKA RD, SUITE A, Apple Valley, CA, 92307
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184696007 | Om Prakash | Individual | Obstetrics Physician | Apple Valley, CA |
| 1700101672 | Om Prakash MD Inc | Organization | Obstetrics & Gynecology Physician | Apple Valley, CA |
Verify this record
Cross-check NPI 1477572675 against the authoritative CMS record: view Moothedath A Menon on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Moothedath A Menon?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-10-15.