Individual provider Active NPI

Mouhanad Mark Alwan, MD

  • Obstetrics & Gynecology Physician
  • Upland, CA
National Provider Identifier
1760595029
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A44569 Issued in CA
Practice address
1310 San Bernardino Rd
Upland, CA 91786-4979
Phone
(909) 981-9991
NPI assigned
Aug 17, 2006
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A44569OtherCASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110901000716 CA Practitioner - Obstetrics/Gynecology 7214107184 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of the uterus1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A44569CAMDSpecialist
G30844CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alwan MD Inc Specialist CurrentSince Feb 22, 2011 Accepting new patients
Basim Z. Abdelkarim, M.D., Inc. PastSince Dec 24, 2023 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.