1. Home
  2. Directory
  3. California
  4. San Luis Obispo
  5. Pediatrics
  6. NPI Profile

MONA ABUTOUK
NPI 1811556103
Pediatrics in San Luis Obispo, CA

Active since June 10, 2019PECOS Enrolled
1235 OSOS ST STE 100, SAN LUIS OBISPO, CA 93401(805) 549-0888 Get Directions Write a Review

NPPES record last updated: January 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 11, 2025, Dec 8, 2022, Jun 10, 2019 (3 updates tracked since 2019).

About Mona Abutouk NPPES

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

MONA ABUTOUK (NPI 1811556103) is an individual pediatrics provider in San Luis Obispo, California, licensed in California (183330) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811556103
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMONA ABUTOUK
Location Address1235 OSOS ST STE 100San Luis Obispo, CA 93401-3619
Mailing Address1235 Osos St Ste 100San Luis Obispo, CA 93401-3619 · (805) 549-0888
Phone(805) 549-0888
Sole ProprietorNo
Enumeration DateJune 10, 2019
Last NPPES UpdateJanuary 11, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2025
✔ NPI 1811556103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 183330
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1235 OSOS ST STE 100, San Luis Obispo, CA 93401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mona Abutouk 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.

Medicare Billing Reassignment

Medicare enrollment records show Mona Abutouk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside Medical Clinic, Inc
198 mi
Family Medicine
12742 LIMONITE AVE
Eastvale, CA 92880
  • Reassigned Medicare billing, California enrollment
  • 349 clinicians in this Medicare group
NPI 1972845535 (951) 683-6370

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93401 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
$91.64 typical visit price
range $59.84 – $178.89
Typical copayment $22.91 (range $14.96 – $44.72)
Most-billed visit code 99203
Established Patient
$104.82 typical visit price
range $19.70 – $146.55
Typical copayment $26.20 (range $4.92 – $36.63)
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 3

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

KARINA I CERVANTES PA-C
Physician Assistant
1235 OSOS ST STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888
EMILY A GORDON NP
Nurse Practitioner (Pediatrics)
1235 OSOS ST STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 596-4517
DR. SUSAN SHARON KLAW TROUT MD
Pediatrics
1235 OSOS ST STE 100
SAN LUIS OBISPO, CA 93401
San Luis Obispo County (805) 549-0888

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 Mona Abutouk's NPI number?

The NPI number for Mona Abutouk is 1811556103. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Mona Abutouk located?

Mona Abutouk practices at 1235 Osos St Ste 100, San Luis Obispo, CA 93401. The listed phone number is (805) 549-0888.

What is Mona Abutouk's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mona Abutouk enrolled in Medicare?

Yes. Mona Abutouk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mona Abutouk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mona Abutouk reassigns Medicare benefits to Riverside Medical Clinic, Inc (Eastvale, CA). The 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 Mona Abutouk'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 Mona Abutouk was last updated on January 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.