Elijah Mobley MD Incorporated

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G81875 Issued in CA

Legal business name

ELIJAH MOBLEY MD INCORPORATED

Practice address

15366 11TH St Ste Q
Victorville, CA 92395-3726

Phone

(760) 241-6201

Fax

(760) 241-6203

NPI assigned

Jan 7, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Conitha Clemons

Title

Medical Billing Practice Manager

Phone

(909) 441-2547

Specialties & licenses 1

Addresses

Other names 1

• ELIJAH MOBLEY MD INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elijah Mobley, M.D.

  • Surgery Physician
  • Victorville, CA
  • NPI 1528034212
  Medicare reassignment
• Danny M Colton, M.D., M.P.H., FICS

  • Surgery Physician
  • Victorville, CA
  • NPI 1831191956
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1013247485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20258 US HIGHWAY 18",
            "address_2": "SUITE 430-PMB 514",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923076197",
            "telephone_number": "760-946-5177",
            "fax_number": "760-946-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15366 11TH ST STE Q",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953726",
            "telephone_number": "760-241-6201",
            "fax_number": "760-241-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH MOBLEY MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "CONITHA",
        "authorized_official_title_or_position": "MEDICAL BILLING PRACTICE MANAGER",
        "authorized_official_telephone_number": "909-441-2547"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G81875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIJAH MOBLEY MD INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• May Eldanaf, PHARM D. RPH
• Janelle Elekana
• Elevate Pharmacy Inc
• Jaman Robert Eley, SUDDC
• Sabrina Elias
• Elite Diagnostic Imaging, LLC
• Elite Respiratory Services, LLC
• Aubin Elliott, DPT
• Eugenia Ellis, PHARM D
• Hjordis Ellis

• Surgery Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.