NPIMap

Individual provider Active NPI

M. Mazen Jamal, M.D., M.P.H.

  • Gastroenterology Physician
  • Corona, CA
National Provider Identifier
1003916727
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A46078 Issued in CA
Practice address
2097 Compton Ave Ste 103
Corona, CA 92881-7289
Phone
(951) 934-0505
Fax
(951) 444-7749
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 12734 NV
Gastroenterology Physician 207RG0100X A46078 CA Primary

Addresses

Primary practice location

2097 Compton Ave Ste 103
Corona, CA 92881-7289

Mailing address

29 Praire
Irvin, CA 92618
Phone (949) 813-5115

Other practice location 1

1810 Fullerton Ave Ste 203
Corona, CA 92881-3109
Phone (951) 934-0505

Other identifiers 1

IdentifierTypeStateIssuer
WA46078AOtherCAPPIN

Other names 1

  • Mohammad Mazen Jamal Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000217 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 3274684436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MJ Medical Group,Inc.Group PAC ID 8022234384, 2 clinicians

Practice addresses (Care Compare)

26781 Portola Pkwy
Suite 4E
Foothill Ranch, CA 92610-1758
Phone (951) 934-0505

Hospital & facility affiliations

  • Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy205
Upper gastrointestinal (GI) endoscopy for acid reflux194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12734NVMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Corona Heights Surgery Center, LLC. CurrentSince Jan 3, 2022 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
University of California Irvine Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Uhs Corona Inc Past Accepting new patients

Locations

2097 Compton Ave
Ste 101
Corona, CA 92881
Phone (949) 825-5189

3943 Irvine Blvd
Irvine, CA 92602
Phone (714) 922-0120

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1003916727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 PRAIRE",
            "city": "IRVIN",
            "state": "CA",
            "postal_code": "92618",
            "telephone_number": "949-813-5115",
            "fax_number": "949-825-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2097 COMPTON AVE STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928817289",
            "telephone_number": "951-934-0505",
            "fax_number": "951-444-7749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1810 Fullerton Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928813109",
            "country_code": "US",
            "telephone_number": "951-934-0505",
            "fax_number": "951-934-0506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMAL",
        "first_name": "M. MAZEN",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NV",
            "license": "12734",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A46078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPIN",
            "identifier": "WA46078A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOHAMMAD MAZEN",
            "last_name": "JAMAL",
            "credential": "M.D., M.P.H.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Corona, CA

Sources for this page

Verify at the official NPI Registry.