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NAMITA MOHIDEEN MD INC
NPI 1649546144
Clinic/Center - Primary Care in Fontana, CA

Active since March 29, 2012CLIA 05D2030034 · Waiver
16465 SIERRA LAKES PKWY STE 115, FONTANA, CA 92336(909) 823-8000(909) 823-8088 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Namita Mohideen Md Inc NPPES

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

NAMITA MOHIDEEN MD INC (NPI 1649546144) is a healthcare organization registered as a primary care in Fontana, California and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Namita Pandiri Mohideen, Doctor, as its authorized official.

NPPES Registry Identity

NPI1649546144
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNAMITA MOHIDEEN MD INC
Location Address16465 SIERRA LAKES PKWY STE 115Fontana, CA 92336-1242
Mailing Address16465 Sierra Lakes Pkwy Ste 115Fontana, CA 92336-1242 · (909) 823-8000 · Fax (909) 823-8088
Phone(909) 823-8000
Fax(909) 823-8088
Organization SubpartNo
Authorized OfficialNamita Pandiri MohideenDoctor · (909) 823-8000
Enumeration DateMarch 29, 2012
Last NPPES UpdateAugust 26, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1649546144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A55769
16465 SIERRA LAKES PKWY STE 115, Fontana, CA 92336
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2030034

Namita Mohideen, MD Inc · Fontana, CA
Active · expires Sep 19, 2027
CLIA Number05D2030034
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorNamita Mohideen
Laboratory Phone(909) 823-8000
Laboratory LocationNamita Mohideen, MD Inc16465 Sierra Lakes Pkwy, Ste 115, Fontana, CA 92336
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

GOLDEN STATE PRIMARY CARE INC
General Practice
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
YARELI RENOVATO MA
Community Health Worker
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
JOSE I ARCINIEGA D.O.
Family Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
FARAH NIDA IMAM M.D.
Family Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
DR. MARIA RELENTE-SANTOS MD
Internal Medicine
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
NELLY LIM PA-C
Physician Assistant
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
HAROLD MACAPAGAL PAGULAYAN
Nurse Practitioner (Family)
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000
SARA BOGHOSIAN FNP-C
Nurse Practitioner
16465 SIERRA LAKES PKWY STE 115
FONTANA, CA 92336
San Bernardino County (909) 823-8000

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 Namita Mohideen MD Inc's NPI number?

The NPI number for Namita Mohideen MD Inc is 1649546144. It was assigned to this organization in the NPPES registry on March 29, 2012.

Where is Namita Mohideen MD Inc located?

Namita Mohideen MD Inc is located at 16465 Sierra Lakes Pkwy Ste 115, Fontana, CA 92336. The listed phone number is (909) 823-8000.

What is Namita Mohideen MD Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Namita Mohideen MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2030034) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Namita Mohideen MD Inc was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.