Active NPI
Mohs-Tek Inc
- Clinical Medical Laboratory
- Tustin, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 99039304
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Seema Bhutani
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 CA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2152412 | Mohs-Tek, Inc | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Histology Specialist/Technologist
- Irvine, CA
- NPI 1366593519
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.