Namita Mohideen MD Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A55769 Issued in CA

Legal business name

NAMITA MOHIDEEN MD INC

Practice address

16465 Sierra Lakes Pkwy Ste 115
Fontana, CA 92336-1242

Phone

(909) 823-8000

Fax

(909) 823-8088

NPI assigned

Mar 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Namita Pandiri Mohideen, M.D.NPI 1871543850

Title

Doctor

Phone

(909) 823-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 29

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

• Namita P. Mohideen, M.D.

  • Pediatrics Physician
  • Fontana, CA
  • NPI 1871543850
  Medicare reassignment Care Compare group NPD Authorized official
• Butool Saba Abdullah, MD

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1285130708
  Medicare reassignment Care Compare group NPD
• Nicole McFarland, D.O.

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1942654587
  Medicare reassignment Care Compare group NPD
• Harold Macapagal Pagulayan

  • Family Nurse Practitioner
  • Fontana, CA
  • NPI 1447065784
  Medicare reassignment Care Compare group NPD
• Bruke Yehayes, MD

  • Family Medicine Physician
  • Apple Valley, CA
  • NPI 1730818188
  Medicare reassignment Care Compare group NPD
• Jose I Arciniega, D.O.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1265642052
  Medicare reassignment Care Compare group NPD (past)
• Miguel Angel Martinez, MD

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1033472741
  Medicare reassignment Care Compare group NPD (past)
• Maria Relente-Santos, MD

  • Internal Medicine Physician
  • Fontana, CA
  • NPI 1437862232
  Medicare reassignment Care Compare group
• Eduardo Vargas, MD

  • Family Medicine Physician
  • San Bernardino, CA
  • NPI 1922113836
  Medicare reassignment Care Compare group
• Jay Chae, NP

  • Family Nurse Practitioner
  • Redlands, CA
  • NPI 1275237422
  Medicare reassignment NPD
• Ernesto Cruz, M.D.

  • Pediatrics Physician
  • Redlands, CA
  • NPI 1124001888
  Medicare reassignment NPD
• Decerie Baculi Dayag, MD

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1336660901

  Multi-Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1649546144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 115",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361242",
            "telephone_number": "909-823-8000",
            "fax_number": "909-823-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16465 SIERRA LAKES PKWY STE 115",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923361242",
            "telephone_number": "909-823-8000",
            "fax_number": "909-823-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMITA MOHIDEEN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "MOHIDEEN",
        "authorized_official_first_name": "NAMITA",
        "authorized_official_middle_name": "PANDIRI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "909-823-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A55769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najeh Hamed
• Srivathsan Nallur
• Dajeong Nam, DPT
• Diana M Nam, MD
• NA Yon Nam
• Theprangsy Nantha, OD
• Iman Magdi Micheal Naoum
• Syed Sajjad Sarwar Naqvi
• Vidhi Narang, M.D
• Natalie Espinoza, Rdhap, Professional Corporation

• Primary Care Clinic/Center in Fontana, CA
• Providers in Fontana, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.