Mt Mesa Medical Group – General Practice Physician, NPI 1629081997

Mt Mesa Medical Group is a healthcare provider. based in Lake isabella, California. specializing in General Practice Physician. The organization holds a License No. G43717 (CA). The NPI Number for Mt Mesa Medical Group is 1629081997

Main info

Organization
Name
Mt Mesa Medical Group
NPI
1629081997
Phone
(760) 379-2426
Address
PO BOX 1898
Authorized Official
JAIME S. LEE HO PRESIDENT/PHYSICIAN M.D.
Enumeration Date
15 August 2006
Last Update Date
3 September 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness80
Years active:19State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for Mt Mesa Medical Group

  • PO BOX 1898

    4308 BIRCH STREET

    LAKE ISABELLA, CA 932401898

    Phone: (760) 379-2426

    Fax: (760) 379-2664

    Type: Mailing

  • 4308 BIRCH STREET

    LAKE ISABELLA, CA 93240

    Phone: (760) 379-2426

    Fax: (760) 379-2664

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 93240)

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Reviews

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Frequently asked questions

What number should I use to identify Mt Mesa Medical Group for billing?
Administrative and clinical systems typically use NPI 1629081997 for Mt Mesa Medical Group.
Quick check: is Mt Mesa Medical Group active?
Public NPPES data shows Mt Mesa Medical Group with an active NPI status right now.
What type of care does Mt Mesa Medical Group provide?
Mt Mesa Medical Group's profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Mt Mesa Medical Group?
The directory associates Mt Mesa Medical Group with Lake Isabella, California. Check all listed addresses for suites or satellite offices.
Can I export Mt Mesa Medical Group's record?
You can download the official NPPES record; we summarize key fields for readability.

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