MAWJ MUSTAFA KAMAL 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: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

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, maintains 2 additional practice locations, 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
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

Secondary Practice Locations 2

Location 1782 Latisha PlEl Cajon, CA 92021-5602 · Phone (619) 493-5262
Location 22780 Cleveland Ave Ste 709Fort Myers, FL 33901-5857 · Phone (239) 343-3831 · Fax (239) 343-2301

Other Identifiers 1

Medicaid124131700FL

Accepted 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 2024 & 2026 CMS Medicare utilization dataset. 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 14

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

Registered Nurse (Community Health)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Registered Nurse (Community Health)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Registered Nurse (Community Health)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Clinic/Center (Primary Care)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Social Worker (Clinical)
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Dietitian, Registered
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Marriage & Family Therapist
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530
Student in an Organized Health Care Education/Training Program
2499 E LAKESHORE DR
LAKE ELSINORE, CA 92530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366184418, enumerated as an "individual" on April 10, 2022.

The provider is located at 2499 E LAKESHORE DR LAKE ELSINORE, CA 92530 and the phone number is (951) 471-4200.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Wellpoint, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.