Active NPI
Mouhanad Mark Alwan, MD
- Obstetrics & Gynecology Physician
- Upland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A44569
- Practice address
- 1310 San Bernardino Rd
Upland, CA 91786-4979 - Phone
- (909) 981-9991
- NPI assigned
- Aug 17, 2006
- Last updated
- Jul 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A44569 | CA | |
| Obstetrics & Gynecology Physician | 207V00000X | A44569 | CA | Primary |
Addresses
Primary practice location
1310 San Bernardino Rd
Upland, CA 91786-4979
Mailing address
1310 San Bernardino Rd Ste 205
Upland, CA 91786-4985
Phone (909) 981-9991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A44569 | Other | CA | STATE LICENSE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1980
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1310 San Bernardino Rd
Upland, CA 91786-4985
Phone (909) 981-9991
1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 865-9500
7777 B Milliken Ave
Suite 320
Rancho Cucamonga, CA 91730-6778
Phone (909) 981-9991
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44569 | CA | MD | Specialist |
| G30844 | CA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alwan MD Inc | Specialist | Current | Accepting new patients |
| Basim Z. Abdelkarim, M.D., Inc. | Past | Accepting new patients | |
| Pomona Valley Hospital Medical Center | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients | |
| Prime Healthcare Services - Montclair, LLC | Past | Accepting new patients |
Locations
2140 Grand Ave
Ste 120
Chino Hills, CA 91709
Phone (909) 392-2002
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
7777 Milliken Ave
Ste 320
Rch Cucamonga, CA 91730
Phone (909) 981-9991
1310 San Bernardino Rd
Upland, CA 91786
Phone (909) 355-7855
1310 San Bernardino Rd
Ste 205
Upland, CA 91786
Phone (909) 870-3033
440 N Mountain Ave
Ste 110
Upland, CA 91786
Phone (909) 870-5200
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.
-
- Specialist
- Upland, CA
- NPI 1255573119
-
dba Ideal Gastroenterology Associates
- Gastroenterology Physician
- Upland, CA
- NPI 1063593739
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1518067586
-
dba Montclair Hopsital Medical Center
- General Acute Care Hospital
- Montclair, CA
- NPI 1992721161
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1760595029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 SAN BERNARDINO RD STE 205",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864985",
"telephone_number": "909-981-9991",
"fax_number": "909-981-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 SAN BERNARDINO RD",
"city": "UPLAND",
"state": "CA",
"postal_code": "917864979",
"telephone_number": "909-981-9991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALWAN",
"first_name": "MOUHANAD",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A44569",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A44569",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A44569",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.