Organization Active NPI

Mohs-Tek Inc

  • Clinical Medical Laboratory
  • Tustin, CA
National Provider Identifier
1326234204
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
99039304 Issued in CA
Legal business name
MOHS-TEK INC
Practice address
1342 Bell Ave Ste 3H
Tustin, CA 92780-6440
Phone
(949) 551-6647
Fax
(949) 559-6647
NPI assigned
Sep 24, 2007
Last updated
Dec 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Seema BhutaniNPI 1366593519
Title
President
Phone
(949) 559-6647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 99039304 CA Primary

Addresses

Primary practice location

1342 Bell Ave Ste 3H
Tustin, CA 92780-6440

Mailing address

11758 Willard Ave
Tustin, CA 92782-5102
Phone (714) 505-6647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100324000259 CA Part B Supplier - Slide Preparation Facilities 5496880833 Practice locations: Tustin, CA
O20200210000184 CA Part B Supplier - Independent Clinical Laboratory 5496880833 Practice locations: Tustin, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2152412Mohs-Tek, Inc1342 Bell Ave Ste 3H, Tustin, CA 92780ComplianceJul 31, 2026

National Provider Directory

National Provider Directory

Locations

1342 Bell Ave
Ste 3H
Tustin, CA 92780
Phone (714) 235-9460

14752 Franklin Ave
Ste C
Tustin, CA 92780
Phone (949) 559-6647

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1326234204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11758 WILLARD AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927825102",
            "telephone_number": "714-505-6647",
            "fax_number": "949-653-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 BELL AVE STE 3H",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806440",
            "telephone_number": "949-551-6647",
            "fax_number": "949-559-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHS-TEK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "BHUTANI",
        "authorized_official_first_name": "SEEMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-559-6647"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "99039304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.