Stan Mokoko, MD is a medicare enrolled "Family Medicine" in San Jacinto, California. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Family Practice. His current practice location is
1695 S San Jacinto Ave Ste A, San Jacinto, California. You can reach out to his office (for appointments etc.) via phone at
(951) 330-3100.
Stan Mokoko is licensed to practice in Georgia (license number 102105) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1336994110.
Provider's Profile
| Full Name | Stan Mokoko |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 3 Years |
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| Location | 1695 S San Jacinto Ave Ste A, San Jacinto, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stan Mokoko graduated from nursing school in 2023
NPI Data:
- NPI Number: 1336994110
- Provider Enumeration Date: 04/23/2024
- Last Update Date: 06/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789123902
- Enrollment ID: I20250807000134
Medical Identifiers
Medical identifiers for Stan Mokoko such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336994110 | NPI | - | NPPES |
| 10004 | Other | CA | TEMP MSP PA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 10004 (California) | Secondary |
| 363A00000X | Physician Assistant | 1983 (Puerto Rico) | Secondary |
| 207Q00000X | Family Medicine | 102105 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stan Mokoko is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Stan Mokoko, MD
36056 Darcy Pl,
Murrieta, CA 92562-4563
Ph: (912) 272-4640 | Stan Mokoko, MD
1695 S San Jacinto Ave Ste A,
San Jacinto, CA 92583-5103
Ph: (951) 330-3100 |
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