MAWJ MUSTAFA KAMAL AL ANI
NPI 1366184418
Family Medicine in Lake Elsinore, CA

Q: What is Mawj Al Ani's NPI number?

The NPI number for Mawj Al Ani is 1366184418. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Q: What is Mawj Al Ani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Mawj Al Ani was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since April 10, 2022PECOS EnrolledAccepts Medicare Assignment

2499 E LAKESHORE DR, LAKE ELSINORE, CA 92530(951) 471-4200(951) 486-5075 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 3, 2025, Apr 10, 2022 (2 updates tracked since 2022).

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About Mawj Mustafa Kamal Al Ani NPPES

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

MAWJ MUSTAFA KAMAL AL ANI (NPI 1366184418) is an individual family medicine provider in Lake Elsinore, California, licensed in California (A202581) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366184418

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMAWJ MUSTAFA KAMAL AL ANI

Location Address2499 E LAKESHORE DRLake Elsinore, CA 92530-4411

Mailing Address2499 E Lakeshore DrLake Elsinore, CA 92530-4411 · (951) 471-4200 · Fax (951) 486-5075

Phone(951) 471-4200

Fax(951) 486-5075

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateApril 10, 2022

Last NPPES UpdateJuly 3, 20252 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1366184418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A202581✔ Licensed in FL · ME169282

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2499 E LAKESHORE DR, Lake Elsinore, CA 92530

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Other Identifiers 1

Medicaid124131700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mawj Mustafa Kamal Al Ani is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153852405

PECOS Enrollment IDI20240927001276, I20250718003497

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY

Clinic/Center (Federally Qualified Health Center (FQHC))