Shanti Mohan Medical Clinic, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SHANTI MOHAN MEDICAL CLINIC, INC.

Practice address

18092 Wika Rd Ste 220
Apple Valley, CA 92307-2132

Phone

(760) 242-9828

Fax

(760) 242-0124

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dineshchandra Ghael, M.D.

Title

Ceo

Phone

(760) 946-1344

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mukeshchandra M Patel, M.D.

  • Specialist
  • Apple Valley, CA
  • NPI 1639106198
  NPD (past)

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1316115215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD STE 220",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-946-1344",
            "fax_number": "760-242-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD STE 220",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-242-9828",
            "fax_number": "760-242-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANTI MOHAN MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "GHAEL",
        "authorized_official_first_name": "DINESHCHANDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-946-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Owusu Sewalt, OTR
• Shannon Desiree Seymour
• Dipakkumar B Shah, PHARMACIST
• Kavan Muneshbhai Shah, P.T.
• Bashar Mousa Shahatit, M.D.
• Kartik Joshua Sharma, MBBS
• Shatha Bakir, M.D., Inc.
• Bryan Jonathan Shaver, PPS-220202781
• Vasiliy Shchekaturov
• Adrienne Shepherd

• Specialist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.