DR. NAMITA P. MOHIDEEN M.D.
NPI 1871543850
Pediatrics in Fontana, CA

Q: What is Namita Mohideen's NPI number?

The NPI number for Namita Mohideen is 1871543850. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Q: What is Namita Mohideen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Namita Mohideen was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 05D2198111 · 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: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Namita P. Mohideen M.d. NPPES

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

DR. NAMITA P. MOHIDEEN M.D. (NPI 1871543850) is an individual pediatrics provider in Fontana, California, licensed in California (A55769) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 28, 2026, and maintains a secondary practice location in Upland.

NPPES Registry Identity

NPI1871543850

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. NAMITA P. MOHIDEENCredential: M.D.

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

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1994

Enumeration DateMay 11, 2006

Last NPPES UpdateMay 16, 2025

NPPES CertifiedMay 16, 2025

✔ NPI 1871543850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A55769

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.

16465 SIERRA LAKES PKWY STE 115, Fontana, CA 92336

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Secondary Practice Location 1

Location 1811 E 11th St Ste 201Upland, CA 91786-4872 · Phone (909) 985-0883 · Fax (909) 985-5762

Other Identifiers 6

Medicaid00A557690CA

Medicaid1174760953CA

OtherZZZ39356ZCA · Bs/triwest

Medicaid1871543850CA

OtherZZZ01339ZCA · Bs/triwest

Medicaid1518136787CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Namita P. Mohideen M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840248845

PECOS Enrollment IDI20050106000380

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.

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 05D2198111

Namita Mohideen, MD Inc · Upland, CA

Active · expires Oct 28, 2026

CLIA Number05D2198111

Laboratory TypePhysician Office

Certificate Effective DateOctober 29, 2024

Certificate Expiration DateOctober 28, 2026

Laboratory DirectorNamita Mohideen

Laboratory Phone(909) 985-0883

Laboratory LocationNamita Mohideen, MD Inc811 E 11th Street Suite 201, Upland, CA 91786

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92336 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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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.

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