Individual provider Active NPI

Mustafa Raad Muhildeen Helmi, DDS

  • Dentist
  • Moreno Valley, CA
National Provider Identifier
1063128932
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
108516 Issued in CA
Practice address
23185 Hemlock Ave
Moreno Valley, CA 92557-8043
Phone
(951) 571-8369
NPI assigned
Jan 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 108516 CA Primary

Addresses

Primary practice location

23185 Hemlock Ave
Moreno Valley, CA 92557-8043

Mailing address

15514 Laurel Heights Dr
Houston, TX 77084-3615
Phone (832) 455-0659

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250324000513 CA Practitioner - Dentist 4082136684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Mar 24, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health CurrentSince Mar 24, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1063128932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15514 LAUREL HEIGHTS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770843615",
            "telephone_number": "832-455-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23185 HEMLOCK AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925578043",
            "telephone_number": "951-571-8369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMI",
        "first_name": "MUSTAFA",
        "middle_name": "RAAD MUHILDEEN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.