Individual provider Active NPI

Sami Mostafa, MD

  • Urology Physician
  • Clovis, CA
National Provider Identifier
1689294647
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A199440 Issued in CA
Practice address
782 Medical Center Dr E Ste 311
Clovis, CA 93611-6892
Phone
(559) 472-4600
NPI assigned
Apr 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A199440 CA Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X

Addresses

Primary practice location

782 Medical Center Dr E Ste 311
Clovis, CA 93611-6892

Mailing address

1510 E Herndon Ave Ste 310
Fresno, CA 93720-3393

Other practice location 1

420 Delaware Street SE, MMC 394
Minneapolis, MN 55455
Phone (612) 625-8364

Other practice location 2

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250702004230 CA Practitioner - Urology 9133547920 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Chicago, Pritzker School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 324-4000

45 E River Park PL W
Fresno, CA 93720-1565
Phone (559) 320-0530

6107 N Fresno St
Suite 103
Fresno, CA 93710-8609
Phone (559) 603-7700

782 Medical Ctr Dr E
Suite 311
Clovis, CA 93611-6892
Phone (559) 472-4600

Hospital & facility affiliations

  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Fresno Surgical Hospital Hospital, Fresno, CA, CCN 050708
  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A199440CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cancer Associates for Research and Excellence Inc Single Specialty CurrentSince Aug 18, 2025 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Aug 18, 2025 Accepting new patients
Community Health Partners Single Specialty CurrentSince Oct 3, 2025 Accepting new patients

Locations

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

1510 E Herndon Ave
Ste 310
Fresno, CA 93720
Phone (559) 326-1222

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1689294647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 E HERNDON AVE STE 310",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 MEDICAL CENTER DR E STE 311",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116892",
            "telephone_number": "559-472-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Delaware Street SE, MMC 394",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55455",
            "country_code": "US",
            "telephone_number": "612-625-8364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7130 N Millbrook Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203347",
            "country_code": "US",
            "telephone_number": "559-326-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSTAFA",
        "first_name": "SAMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-20",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A199440",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

Verify at the official NPI Registry.