DR. MOHAMED ALI HASSAN GHANDOUR MD
NPI 1831683143
Pediatrics - Pediatric Cardiology in Loma Linda, CA

Q: What is Mohamed Ali Ghandour's NPI number?

The NPI number for Mohamed Ali Ghandour is 1831683143. It was assigned to this individual provider in the NPPES registry on June 20, 2018.

Q: What is Mohamed Ali Ghandour's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since June 20, 2018PECOS Enrolled

11234 ANDERSON ST, LOMA LINDA, CA 92350(567) 694-5980 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 30, 2026, Jun 29, 2021, Jun 20, 2018 (3 updates tracked since 2018).

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About Dr. Mohamed Ali Hassan Ghandour Md NPPES

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

DR. MOHAMED ALI HASSAN GHANDOUR MD (NPI 1831683143) is an individual pediatric cardiology provider in Loma Linda, California, licensed in California (A175102) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1831683143

Entity TypeIndividualMale

Primary Taxonomy2080P0202X

Provider Legal NameDR. MOHAMED ALI HASSAN GHANDOURCredential: MD

Location Address11234 ANDERSON STLoma Linda, CA 92350-1716

Mailing Address11234 Anderson StLoma Linda, CA 92350-1716 · (567) 694-5980

Phone(567) 694-5980

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 20, 2018

Last NPPES UpdateFebruary 24, 20263 updates tracked since enumeration

NPPES CertifiedFebruary 24, 2026

✔ NPI 1831683143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

License✔ Licensed in CA · A175102

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Also ListedPediatricsTaxonomy 208000000X · License 4301508826 (MI)

11234 ANDERSON ST, Loma Linda, CA 92350

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mohamed Ali Hassan Ghandour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719236280

PECOS Enrollment IDI20251215001666

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.

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