Individual provider Active NPI

Moinuddin Habib Mokhashi, M.D.

  • Pediatric Endocrinology Physician
  • Newhall, CA
National Provider Identifier
1821157298
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
A155607 Issued in CA
Practice address
25078 Peachland Ave Ste a
Newhall, CA 91321-2558
Phone
(661) 253-4420
NPI assigned
Dec 8, 2006
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A155607 CA
Pediatric Endocrinology Physician 2080P0205X A155607 CA Primary

Addresses

Primary practice location

25078 Peachland Ave Ste a
Newhall, CA 91321-2558

Mailing address

PO Box 20878
Bakersfield, CA 93390-0878
Phone (504) 343-6823

Other identifiers 3

IdentifierTypeStateIssuer
316331301MedicaidTX
085183MedicaidAZ
1861798944MedicaidCA

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
I20180125001417 CA Practitioner - EndocrinologyPractitioner - Pediatric Medicine 7315182250 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155607CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Confermed of California PC CurrentSince Dec 1, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Apr 15, 2024 Accepting new patients
Kern County Hospital Authority CurrentSince Apr 15, 2024 Accepting new patients
Valley Children's Medical Group Pediatrics CurrentSince Jan 15, 2018 Accepting new patients
Hormonesandhealth,Inc CurrentSince Aug 6, 2023 Accepting new patients
Openloop Healthcare Partners California PC CurrentSince Dec 1, 2024 Accepting new patients
Specialty Medical Group Central California, Inc. Pediatrics Past Accepting new patients
Confermed PC Pediatrics Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

9330 Stockdale Hwy
Ste 400
Bakersfield, CA 93311
Phone (661) 654-0400

2121 E Coast Hwy
Ste 270
Corona del Mar, CA 92625
Phone (949) 694-4937

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

9300 Valley Childrens Pl
#5
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

25078 Peachland Ave
Ste A
Newhall, CA 91321
Phone (661) 253-4420

72650 Fred Waring Dr
Ste 106
Palm Desert, CA 92260
Phone (760) 230-9990

11 Silver St
Unit 856
Middletown, CT 06457

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

Interoperability endpoints

  • Direct secure messaging: mmokhashi78102@valleychildrens-prd.direct-ci.com

Organizations & group practices 9

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1821157298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20878",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933900878",
            "telephone_number": "504-343-6823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25078 PEACHLAND AVE STE A",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913212558",
            "telephone_number": "661-253-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOKHASHI",
        "first_name": "MOINUDDIN",
        "middle_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A155607",
            "primary": false
        },
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "CA",
            "license": "A155607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316331301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085183",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861798944",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newhall, CA

Sources for this page

Verify at the official NPI Registry.