Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mawj Mustafa Kamal Al Ani

Individual provider Family Medicine Physician · NPI 1366184418

Mawj Mustafa Kamal Al Ani is a Family Practice in Lake Elsinore, California. Qualified in 2020, 6 years ago. Practices with County of Riverside, a 187-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Florida.

Years since qualifying
6
Licensed in
CA, FL
In the registry since
2022
Specialties on file
2

Practice location Address checks out

2499 E Lakeshore Dr
Lake Elsinore, CA 92530-4411
Phone: (951) 471-4200
Fax: (951) 486-5075
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 782 Latisha Pl, El Cajon, CA 92021-5602 — (619) 493-5262
  • 2780 Cleveland Ave Ste 709, Fort Myers, FL 33901-5857 — (239) 343-3831

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A202581 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence ME169282 (FL)

Record details

NPI number1366184418
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 10, 2022
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lake Elsinore