Individual provider Active NPI

John P Mourani, MD

  • Infectious Disease Physician
  • Pomona, CA
National Provider Identifier
1962460154
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A80001 Issued in CA
Practice address
255 E Bonita Ave BLDG 1B
Pomona, CA 91767-1923
Phone
(909) 275-7470
Fax
(909) 971-4532
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A80001 CA Primary

Addresses

Primary practice location

255 E Bonita Ave BLDG 1B
Pomona, CA 91767-1923

Mailing address

310 N Indian Hill Blvd
PMB # 801
Claremont, CA 91711-4611
Phone (909) 275-7470

Other identifiers 1

IdentifierTypeStateIssuer
00A800010MedicaidCA

Other names 1

  • Ousama Mourani Former name

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
I20070206000723 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 4587633250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inland Valley Infectious Disease Medical Group IncGroup PAC ID 2365455391, 5 clinicians

Practice addresses (Care Compare)

1798 N Garey Ave
Pomona, CA 91767-2918
Phone (909) 865-9500

255 E Bonita Ave
Pomona, CA 91767-1923

550 N Monterey Ave
Ontario, CA 91764-3318
Phone (909) 391-0333

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099
  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231
  • Casa Colina Hospital Hospital, Pomona, CA, CCN 050782

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80001CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Casa Colina Hospital and Centers for Healthcare Current Accepting new patients
Inland Valley Infectious Disease Medical Group Inc Infectious Disease CurrentSince Jan 1, 2007 Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Chino Medical Group, Inc Past Accepting new patients
THC - Orange County, LLC Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
Yong Luke Lee Medical Corporation Past Accepting new patients
Hospitalists of Arizona, LLC Past Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients

Locations

310 N Indian Hill Blvd
Claremont, CA 91711
Phone (909) 244-8902

250 S Grand Ave
Glendora, CA 91741
Phone (626) 857-3118

550 N Monterey Ave
Ontario, CA 91764
Phone (909) 629-2290

255 E Bonita Ave
Bldg 1B
Pomona, CA 91767
Phone (909) 275-7470

255 E Bonita Ave
Bldg 1
Pomona, CA 91767
Phone (909) 524-1940

255 E Bonita Ave
Bldg 9
Pomona, CA 91767
Phone (909) 450-0369

255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127

255 E Bonita Ave
Ste 1B
Pomona, CA 91767

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: clinic.casacolina@direct.casacolina.org
  • Direct secure messaging: casacolina@direct.casacolina.org

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.

Hospital & facility affiliations 4

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1962460154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N INDIAN HILL BLVD",
            "address_2": "PMB # 801",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114611",
            "telephone_number": "909-275-7470",
            "fax_number": "909-971-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BONITA AVE BLDG 1B",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917671923",
            "telephone_number": "909-275-7470",
            "fax_number": "909-971-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURANI",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A80001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A800010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OUSAMA",
            "last_name": "MOURANI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.