Individual provider Active NPI

Mohamedali Ismailjee, M.D.

  • Obstetrics & Gynecology Physician
  • Eastvale, CA
National Provider Identifier
1952594715
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A115943 Issued in CA
Practice address
12742 Limonite Ave Ste 201
Eastvale, CA 92880-9630
Phone
(951) 739-2715
Fax
(951) 371-6587
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X GETP.LSU.OB/GYN LA
Obstetrics & Gynecology Physician 207V00000X A115943 CA Primary

Addresses

Primary practice location

12742 Limonite Ave Ste 201
Eastvale, CA 92880-9630

Mailing address

12742 Limonite Ave Ste 201
Eastvale, CA 92880-9630
Phone (951) 739-2715

Other practice location 1

21634 Retreat Pkwy
Corona, CA 92883-6100
Phone (951) 739-2715

Other identifiers 1

IdentifierTypeStateIssuer
1005843MedicaidLA

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
I20110906000360 CA Practitioner - Obstetrics/Gynecology 8224208020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Medical Clinic IncGroup PAC ID 2961492327, 173 clinicians

Practice addresses (Care Compare)

12742 Limonite Ave
Eastvale, CA 92880-9630
Phone (951) 683-6370

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A115943CAMDObstetrics & Gynecology Physician
GETP.LSU.OB/GYNLAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Riverside Medical Clinic, Inc Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients
Riverside Medical Clinic, Inc Obstetrics & Gynecology Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince May 18, 2022 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients
Rancho OB/GYN Obstetrics & Gynecology Past Accepting new patients

Locations

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

12742 Limonite Ave
Eastvale, CA 92880
Phone (951) 739-2712

12742 Limonite Ave
Ste 201
Eastvale, CA 92880
Phone (951) 739-2715

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

9041 Magnolia Ave
Ste 305
Riverside, CA 92503
Phone (951) 343-3477

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1952594715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12742 LIMONITE AVE STE 201",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809630",
            "telephone_number": "951-739-2715",
            "fax_number": "951-371-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12742 LIMONITE AVE STE 201",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928809630",
            "telephone_number": "951-739-2715",
            "fax_number": "951-371-6587"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21634 Retreat Pkwy",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928836100",
            "country_code": "US",
            "telephone_number": "951-739-2715",
            "fax_number": "951-826-8134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAILJEE",
        "first_name": "MOHAMEDALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "GETP.LSU.OB/GYN",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A115943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005843",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

Verify at the official NPI Registry.