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PRANAV R. MEHTA, M.D., INC.
NPI 1962681270
Family Medicine in Yucaipa, CA

Active since November 02, 2007CLIA 05D0914145 · Microscopy
12047 4TH ST, YUCAIPA, CA 92399(909) 797-5101(909) 797-5103 Get Directions Write a Review

NPPES record last updated: May 19, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pranav R. Mehta, M.d., Inc. NPPES

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

PRANAV R. MEHTA, M.D., INC. (NPI 1962681270) is a healthcare organization registered as a family medicine in Yucaipa, California and active in the NPI registry since November 2007. The organization holds a CLIA Microscopy certificate valid through April 21, 2028 and lists Pranav Raghuvir Mehta, President, as its authorized official.

NPPES Registry Identity

NPI1962681270
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRANAV R. MEHTA, M.D., INC.
Location Address12047 4TH STYucaipa, CA 92399-2735
Mailing Address12047 4th StYucaipa, CA 92399-2735 · (909) 797-5101 · Fax (909) 797-5103
Phone(909) 797-5101
Fax(909) 797-5103
Organization SubpartNo
Authorized OfficialPranav Raghuvir MehtaPresident · (909) 797-5101
Enumeration DateNovember 2, 2007
Last NPPES UpdateMay 19, 2008
✔ NPI 1962681270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G078698
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12047 4TH ST, Yucaipa, CA 92399
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Other Identifiers 4

Medicare UPING11062CA
Medicaid00G786980CA
Medicare PINZZZ06600ZCA
Other080160338CA · Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pranav R. Mehta, M.d., Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Pranav R. Mehta, M.D., Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rebecca Baldwin, AGPCNP-C
Nurse Practitioner
NPI 1538797022
12047 4TH ST
Yucaipa, CA 92399
(909) 797-5101
✔ PECOS✔ Accepts MedicareSame address
Pranav Mehta, M.D.
Family Practice
NPI 1467527762
12047 4TH ST
Yucaipa, CA 92399
(909) 797-5101
✔ PECOS✔ Accepts MedicareSame address

Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0914145

Pranav Mehta MD · Yucaipa, CA
Active · expires Apr 21, 2028
CLIA Number05D0914145
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorPranav R. Mehta MD
Laboratory Phone(909) 797-5101
Laboratory LocationPranav Mehta MD12047 4th Street, Yucaipa, CA 92399
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Pranav R. Mehta, M.D., Inc.'s NPI number?

The NPI number for Pranav R. Mehta, M.D., Inc. is 1962681270. It was assigned to this organization in the NPPES registry on November 2, 2007.

Where is Pranav R. Mehta, M.D., Inc. located?

Pranav R. Mehta, M.D., Inc. is located at 12047 4th St, Yucaipa, CA 92399. The listed phone number is (909) 797-5101.

What is Pranav R. Mehta, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pranav R. Mehta, M.D., Inc. enrolled in Medicare?

Yes. Pranav R. Mehta, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pranav R. Mehta, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Pranav R. Mehta, M.D., Inc., in Family Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pranav R. Mehta, M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0914145) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pranav R. Mehta, M.D., Inc. was last updated on May 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.