NAMITA MOHIDEEN MD INC
NPI 1649546144
Clinic/Center - Primary Care in Fontana, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Namita Mohideen Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Namita Mohideen MD Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 22Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, CAFrequently 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.
Is Namita Mohideen MD Inc enrolled in Medicare?
Yes. Namita Mohideen MD Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Namita Mohideen MD Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 5 Medicare specialties reassign their Medicare billing to Namita Mohideen MD Inc. A 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 the clinician's services. The largest specialties are Family Practice (11), Nurse Practitioner (5) and Internal Medicine (3). Of these, 8 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 2 years 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.
# Namita Mohideen Md Inc · NPI 1649546144
Primary Care organization in Fontana, California. Organization record, active in the CMS NPPES registry since March 29, 2012.
## Identity
- **NPI:** 1649546144 (Entity type: Organization)
- **Enumerated:** March 29, 2012
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Namita Mohideen, DOCTOR
## Practice location
- **Address:** 16465 SIERRA LAKES PKWY STE 115, Fontana, CA 92336-1242
- **Phone:** (909) 823-8000 · **Fax:** (909) 823-8088
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (11), Nurse Practitioner (5), Internal Medicine (3); 8 practice at this address and 15 within 10 miles; [full list](https://npiprofile.com/npi/1649546144/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1649546144) · Data from the CMS NPPES public registry.