Organization Active NPI

Mindfulous Inc

Doing business as Dr. Hani Chaabo

  • Family Medicine Physician
  • Ridgecrest, CA
National Provider Identifier
1609689611
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MINDFULOUS INC
Doing business as
Dr. Hani Chaabo
Mindfulous Integrative Health Clinic
Mindfulous Medical Corporation
Practice address
1409 N Norma St
Ridgecrest, CA 93555-2510
Phone
(415) 375-0892
Fax
(866) 305-3569
NPI assigned
Jan 31, 2025
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Dr. Hani Adel Chaabo, MDNPI 1043661457
Title
Ceo/Physician
Phone
(304) 550-5698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X
Integrative Medicine Physician 202D00000X

Addresses

Primary practice location

1409 N Norma St
Ridgecrest, CA 93555-2510

Mailing address

2021 Fillmore St # 2142
San Francisco, CA 94115-2708

Other practice location 1

2995 Skyline Blvd Ste 209
Reno, NV 89509-5163
Phone (415) 375-0892

Other names 3

  • Dr. Hani Chaabo Doing business as
  • Mindfulous Integrative Health Clinic Doing business as
  • Mindfulous Medical Corporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260126001636 CA Part B Supplier - Clinic/Group Practice 3870070469 Receives reassigned benefits from 1 practitioner
Practice locations: Placerville, CA

National Provider Directory

National Provider Directory

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": "1738281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1609689611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 FILLMORE ST # 2142",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941152708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 N NORMA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552510",
            "telephone_number": "415-375-0892",
            "fax_number": "866-305-3569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2995 Skyline Blvd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895095163",
            "country_code": "US",
            "telephone_number": "415-375-0892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFULOUS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-31",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CHAABO",
        "authorized_official_first_name": "HANI",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "CEO/PHYSICIAN",
        "authorized_official_telephone_number": "304-550-5698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Hani Chaabo",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindfulous Integrative Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mindfulous Medical Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.