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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, Jul 3, 2025, Apr 10, 2022 (3 updates tracked since 2022).

About Mawj Al Ani NPPES

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

MAWJ 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 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 UpdateSeptember 28, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2026
✔ NPI 1366184418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A202581
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mawj 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mawj Al Ani reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Riverside
Same address
Federally Qualified Health Center (FQHC)
2499 E LAKESHORE DR
Lake Elsinore, CA 92530
  • Reassigned Medicare billing, California enrollment
  • 336 clinicians in this Medicare group
NPI 1396859179 (951) 471-4200
Lee Memorial Health System
2,164 mi
Emergency Medicine
2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901
  • Reassigned Medicare billing, Florida enrollment
  • 1,345 clinicians in this Medicare group
NPI 1134222532 (239) 334-5244
Lee Health System Inc
2,165 mi
Internal Medicine
9981 S HEALTHPARK DR
Fort Myers, FL 33908
  • Reassigned Medicare billing, Florida enrollment
  • 1,899 clinicians in this Medicare group
NPI 1942058557 (239) 424-1500

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

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))
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 674-3250
VENUS ESQUIVEL MD
Family Medicine
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4200
COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Family Medicine
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 674-3250
COUNTY OF RIVERSIDE
Clinic/Center (Federally Qualified Health Center (FQHC))
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4200
COUNTY OF RIVERSIDE- COMMUNITY HEALTH AGENCY
Family Medicine
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4200
MR. CRAIG DEMERS
Registered Nurse (Community Health)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4221
BRENDA DIAZ
Marriage & Family Therapist
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-0042
JESSICA AIDA ROBLES
Nurse Practitioner (Family)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Riverside County (951) 471-4200

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 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.

Where is Mawj Al Ani located?

Mawj Al Ani practices at 2499 E Lakeshore Dr, Lake Elsinore, CA 92530. The listed phone number is (951) 471-4200.

What is Mawj Al Ani's specialty?

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

Is Mawj Al Ani enrolled in Medicare?

Yes. Mawj Al Ani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mawj Al Ani's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mawj Al Ani reassigns Medicare benefits to 3 organizations: County Of Riverside (Lake Elsinore, CA), Lee Memorial Health System (Fort Myers, FL) and Lee Health System Inc (Fort Myers, FL). Each 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 Mawj Al Ani's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mawj Al Ani was last updated on September 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.