Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Moothedath A Menon, MD

Individual provider Gastroenterology Physician · NPI 1336134014

Moothedath A Menon, MD is an Internal Medicine in Tustin, California. Qualified in 1972, 54 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
54
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

661 W 1st St Ste G
Tustin, CA 92780-2939
Phone: (714) 665-9890
Fax: (714) 665-9891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9918 Katella Ave Ste A-C, Anaheim, CA 92804-6465 — (714) 644-9494
  • 11180 Warner Ave Ste 353, Fountain Valley, CA 92708-7516 — (714) 968-6789

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence A41105 (CA)

Record details

NPI number1336134014
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 19, 2005
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address661 W 1st St Ste G, Tustin, CA 92780-2939

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGASTROENTEROLOGY
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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