Organization Active NPI

Bashnona Inc

  • Family Medicine Physician
  • Newport Beach, CA
National Provider Identifier
1700612322
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BASHNONA INC
Practice address
20311 SW Acacia St Ste 100
Newport Beach, CA 92660-1733
Phone
(949) 520-1620
Fax
(949) 520-1550
NPI assigned
Sep 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Mocha Andrews
Title
Practice Manager
Phone
(949) 520-1620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

20311 SW Acacia St Ste 100
Newport Beach, CA 92660-1733

Mailing address

20311 SW Acacia St Ste 100
Newport Beach, CA 92660-1733

Other names 2

  • Bashnona Inc Former legal business name
  • DR MONA GHOBRIAL MD INC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241009002343 CA Part B Supplier - Clinic/Group Practice 2769913128 Receives reassigned benefits from 1 practitioner
Practice locations: Newport Beach, CA

National Provider Directory

National Provider Directory

Locations

20311 SW Acacia St
Ste 100
Newport Beach, CA 92660
Phone (949) 250-4244

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": "1725926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1700612322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20311 SW ACACIA ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20311 SW ACACIA ST STE 100",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601733",
            "telephone_number": "949-520-1620",
            "fax_number": "949-520-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASHNONA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "MOCHA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "949-520-1620"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bashnona Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DR MONA GHOBRIAL MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.