Mojave Radiation Oncology Medical Group, Inc.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MOJAVE RADIATION ONCOLOGY MEDICAL GROUP, INC.

Practice address

18280 Siskiyou Rd
Apple Valley, CA 92307-1413

Phone

(760) 242-1372

Fax

(760) 242-1127

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Munther E AlqaisiNPI 1356454300

Title

Provider

Phone

(562) 492-6695

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Mojave Radiation Oncology Center Doing business as
• San Bernardino Cancer Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

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

• Munther E Alqaisi, M.D.

  • Radiation Oncology Physician
  • San Bernardino, CA
  • NPI 1356454300
  Medicare reassignment Care Compare group Authorized official
• Shahid Latif, MD

  • Radiation Oncology Physician
  • Apple Valley, CA
  • NPI 1629022553
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1407861818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "562-492-6695",
            "fax_number": "949-612-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18280 SISKIYOU RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-242-1372",
            "fax_number": "760-242-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Medical Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924111232",
            "country_code": "US",
            "telephone_number": "909-887-8800",
            "fax_number": "909-887-5678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MOJAVE RADIATION ONCOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "ALQAISI",
        "authorized_official_first_name": "MUNTHER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "562-492-6695"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050110",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9673134",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mojave Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Bernardino Cancer Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mohinder P Ahluwalia M D & Trevi Ahluwalia M D Inc a Prof Corp
• Mohinder P Ahluwalia M D & Trevi Ahluwalia M D Inc a Prof Corp
• Seidy Jhosselyn Mojarro, ASW
• Mojave Holistic Clinic
• Mojave Medical
• Victor Moneke, M.D.
• Monica Velez DMD Inc
• Jewel Anyia Monks
• Oliva Montantes
• Shellie Jaclyn Montes, FNP-BC

• Radiation Oncology Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Radiation Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.