Individual provider Active NPI

Mona M. Ghobrial, M.D.

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1033319173
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A116629 Issued in CA
Practice address
7625 Mesa College Dr Ste 250a
San Diego, CA 92111-5343
Phone
(858) 314-9222
Fax
(949) 864-2320
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2009-01197 NC
Family Medicine Physician 207Q00000X A116629 CA Primary

Addresses

Primary practice location

7625 Mesa College Dr Ste 250a
San Diego, CA 92111-5343

Mailing address

17332 Von Karman Ave Ste 110a
Irvine, CA 92614-6242
Phone (858) 314-9222

Other practice location 1

4065 Whittier Blvd
Los Angeles, CA 90023-2556
Phone (858) 314-9222

Other practice location 2

4240 Latham St Ste A
Riverside, CA 92501-1741
Phone (858) 314-9222

Other practice location 3

17332 Von Karman Ave # 110A
Irvine, CA 92614-6242
Phone (858) 314-9222

Other identifiers 1

IdentifierTypeStateIssuer
00A1166290MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110913000769 CA Practitioner - Family Practice 8628122249 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

20311 SW Acacia St
Suite 100
Newport Beach, CA 92660-1733
Phone (949) 520-1620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2009-01197NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Health Providers CurrentSince Nov 1, 2025 Accepting new patients
Bashnona Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
California Sleep Neurology Organization for Wellness CurrentSince Nov 1, 2025 Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Infucare Medical Group of California, Inc. Past Accepting new patients

Locations

20311 SW Acacia St
Ste 100
Newport Beach, CA 92660
Phone (949) 250-4244

535 E Main St
Unit 113
Tustin, CA 92780
Phone (949) 466-6055

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1033319173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17332 VON KARMAN AVE STE 110A",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146242",
            "telephone_number": "858-314-9222",
            "fax_number": "949-864-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 MESA COLLEGE DR STE 250A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115343",
            "telephone_number": "858-314-9222",
            "fax_number": "949-864-2320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4065 Whittier Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900232556",
            "country_code": "US",
            "telephone_number": "858-314-9222",
            "fax_number": "949-864-2320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4240 Latham St Ste A",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011741",
            "country_code": "US",
            "telephone_number": "858-314-9222",
            "fax_number": "949-864-2320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17332 Von Karman Ave # 110A",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146242",
            "country_code": "US",
            "telephone_number": "858-314-9222",
            "fax_number": "949-864-2320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOBRIAL",
        "first_name": "MONA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-01197",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A116629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A1166290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.