Elijah Mobley MD Incorporated
NPI 1013247485ActiveOrganization· Surgery· Victorville, CA
Surgery in Victorville, California, registered in NPPES in January 2010. The authorized official on file is Conitha Clemons, Medical Billing Practice Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013247485 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 7, 2010 |
| Last updated in NPPES | Aug 24, 2023 |
| Certified by provider | Aug 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | G81875 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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