ELIJAH MOBLEY MD INC
NPI 1013247485
Surgery in Victorville, CA

Q: What is Elijah Mobley MD Incorporated's NPI number?

The NPI number for Elijah Mobley MD Incorporated is 1013247485. It was assigned to this organization in the NPPES registry on January 7, 2010. The provider is doing business as Elijah Mobley MD Inc.

Q: What is Elijah Mobley MD Incorporated's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since January 07, 2010

15366 11TH ST STE Q, VICTORVILLE, CA 92395(760) 241-6201(760) 241-6203 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Elijah Mobley Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIJAH MOBLEY MD INC (NPI 1013247485) is a healthcare organization registered as a surgery in Victorville, California and active in the NPI registry since January 2010. The organization lists Conitha Clemons, Medical Billing Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1013247485

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameELIJAH MOBLEY MD INCORPORATED

Location Address15366 11TH ST STE QVictorville, CA 92395-3726

Mailing Address20258 Us Highway 18, Suite 430-pmb 514Apple Valley, CA 92307-6197 · (760) 946-5177 · Fax (760) 946-5133

Phone(760) 241-6201

Fax(760) 241-6203

Organization SubpartNo

Authorized OfficialConitha ClemonsMedical Billing Practice Manager · (909) 441-2547

Enumeration DateJanuary 7, 2010

Last NPPES UpdateAugust 24, 2023

NPPES CertifiedAugust 24, 2023

✔ NPI 1013247485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · G81875

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

15366 11TH ST STE Q, Victorville, CA 92395

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Other Names 1

Doing Business AsElijah Mobley Md Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elijah Mobley Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elijah Mobley MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Elijah Mobley, M.D.

General Surgery

NPI 1528034212

15366 11TH ST STE Q
Victorville, CA 92395

(760) 241-6201

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elijah Mobley MD Incorporated's NPI number?

The NPI number for Elijah Mobley MD Incorporated is 1013247485. It was assigned to this organization in the NPPES registry on January 7, 2010. The provider is doing business as Elijah Mobley MD Inc.

Where is Elijah Mobley MD Incorporated located?

Elijah Mobley MD Incorporated is located at 15366 11th St Ste Q, Victorville, CA 92395. The listed phone number is (760) 241-6201.

What is Elijah Mobley MD Incorporated's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Elijah Mobley MD Incorporated enrolled in Medicare?

Yes. Elijah Mobley MD Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Elijah Mobley MD Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Elijah Mobley MD Incorporated. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Elijah Mobley MD Incorporated was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.