Skip to content

Mona Abutouk

NPI 1811556103ActiveIndividual· Pediatrics· San Luis Obispo, CA

Pediatrics in San Luis Obispo, California, licensed in CA, with an NPI issued in June 2019. Enrolled in Medicare as practitioner - pediatric medicine.

Overview

NPI1811556103
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJun 10, 2019
Last updated in NPPESJan 11, 2025
Certified by providerJan 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X183330CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (CA)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in San Luis Obispo

All Pediatrics providers in California →