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MOKOM AWA ALFRED
NPI 1508682758
Student in an Organized Health Care Education/Training Program in Bakersfield, CA

Active since December 03, 2024PECOS Enrolled
7800 NILES ST, BAKERSFIELD, CA 93306(661) 328-4284(661) 616-9977 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2025, Dec 3, 2024 (2 updates tracked since 2024).

About Mokom Awa Alfred NPPES

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

MOKOM AWA ALFRED (NPI 1508682758) is an individual student in an organized health care education/training program in Bakersfield, California, licensed in California (PTL17801) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508682758
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMOKOM AWA ALFRED
Location Address7800 NILES STBakersfield, CA 93306-4922
Mailing Address7800 Niles StBakersfield, CA 93306-4922
Phone(661) 328-4284
Fax(661) 616-9977
Sole ProprietorNo
Enumeration DateDecember 3, 2024
Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1508682758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · PTL17801
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7800 NILES ST, Bakersfield, CA 93306
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mokom Awa Alfred is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

MARIANO E RUBIO GARCIA
Student in an Organized Health Care Education/Training Program
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
DR. LOVEDIP KOONER
Family Medicine
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
YEN STEPHANIE GRANAT MD
Student in an Organized Health Care Education/Training Program
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
SHAUNDEEP SINGH GREWAL LMFT
Marriage & Family Therapist
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
LICET IMBERT MATOS MD
Student in an Organized Health Care Education/Training Program
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
CECILIA COVENAS
Student in an Organized Health Care Education/Training Program
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
AHAMED YOUSSEF EL AZZIH MOHAMAD MD
Student in an Organized Health Care Education/Training Program
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284
CAMERON DOUGLAS CARLISLE MD
Student in an Organized Health Care Education/Training Program
7800 NILES ST
BAKERSFIELD, CA 93306
Kern County (661) 328-4284

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 Mokom Awa Alfred's NPI number?

The NPI number for Mokom Awa Alfred is 1508682758. It was assigned to this individual provider in the NPPES registry on December 3, 2024.

Where is Mokom Awa Alfred located?

Mokom Awa Alfred practices at 7800 Niles St, Bakersfield, CA 93306. The listed phone number is (661) 328-4284.

What is Mokom Awa Alfred's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mokom Awa Alfred enrolled in Medicare?

Yes. Mokom Awa Alfred is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mokom Awa Alfred was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.