Individual provider Active NPI

Hesham Mohamed El Mokadem, M.D.

  • Obstetrics & Gynecology Physician
  • Riverside, CA
National Provider Identifier
1700010030
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A107687 Issued in CA
Practice address
3975 Jackson St Ste 110
Riverside, CA 92503-3946
Phone
(951) 788-5588
NPI assigned
May 14, 2009
Last updated
May 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A107687 CA Primary

Addresses

Primary practice location

3975 Jackson St Ste 110
Riverside, CA 92503-3946

Mailing address

3837 Shadbush Dr
Saginaw, MI 48603-8115
Phone (858) 361-5243

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
I20110906000333 CA Practitioner - Obstetrics/Gynecology 5799955589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3975 Jackson St
Suite 110
Riverside, CA 92503-3946
Phone (951) 351-1071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107687CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hesham El Mokadem, M.D., Inc. Obstetrics & Gynecology CurrentSince Feb 1, 2017 Accepting new patients
Magnolia Women's Center Obstetrics & Gynecology CurrentSince Jul 21, 2011 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

12712 Heacock St
Ste 9B
Moreno Valley, CA 92553
Phone (951) 242-2022

3975 Jackson St
Ste 110
Riverside, CA 92503
Phone (951) 351-1071

4500 Brockton Ave
Ste 315
Riverside, CA 92501
Phone (951) 276-2760

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1700010030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3837 SHADBUSH DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486038115",
            "telephone_number": "858-361-5243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST STE 110",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033946",
            "telephone_number": "951-788-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL MOKADEM",
        "first_name": "HESHAM",
        "middle_name": "MOHAMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A107687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.