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

Mr. Peter Paul Mutya Badua

Individual provider Family Nurse Practitioner · NPI 1043036429

Mr. Peter Paul Mutya Badua is a Nurse Practitioner in Rancho Cucamonga, California. Qualified in 2023, 3 years ago. Practices with Wound Masters Medical Group Inc, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

10621 Church St Ste 120
Rancho Cucamonga, CA 91730-6834
Phone: (909) 944-0486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95030226 (CA)

Record details

NPI number1043036429
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 2, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Wound Masters Medical Group Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rancho Cucamonga