Active NPI
Mona Youssef Iskander, MD
- Pediatrics Physician
- Hawthorne, CA
National Provider Identifier
1679580880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A39011
- Practice address
- 4477 W 118TH St
Suite 301
Hawthorne, CA 90250-2255 - Phone
- (310) 978-8026
- Fax
- (310) 978-1408
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A39011 | CA | Primary |
Addresses
Primary practice location
4477 W 118TH St
Suite 301
Hawthorne, CA 90250-2255
Mailing address
1901 Flournoy Rd
Manhattan Beach, CA 90266-2532
Phone (310) 546-6763
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A390110 | Other | CA | BLUE SHIELD |
| 00A390110 | Medicaid | CA | |
| 00A390110 | Other | CA | CAL CHILDRENS SVCS OF LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A39011 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iskander Medical Group, Inc. | Pediatrics | Past | Accepting new patients |
| Prime Healthcare Centinela, LLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Hawthorne, CA
- NPI 1245420199
-
- General Acute Care Hospital
- Inglewood, CA
- NPI 1336328244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1679580880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 FLOURNOY RD",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662532",
"telephone_number": "310-546-6763",
"fax_number": "310-546-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 W 118TH ST",
"address_2": "SUITE 301",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902502255",
"telephone_number": "310-978-8026",
"fax_number": "310-978-1408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISKANDER",
"first_name": "MONA",
"middle_name": "YOUSSEF",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A39011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00A390110",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A390110",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAL CHILDRENS SVCS OF LA",
"identifier": "00A390110",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.