Active NPI
Mohammed Abbas Jassim, MD
- Family Medicine Physician
- Hemet, CA
National Provider Identifier
1083326615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A200832
- Practice address
- 1117 E Devonshire Ave
Hemet, CA 92543-3083 - Phone
- (951) 652-2811
- NPI assigned
- Dec 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | A200832 | CA | Primary |
Addresses
Primary practice location
1117 E Devonshire Ave
Hemet, CA 92543-3083
Mailing address
2390 E Florida Ave Ste 104
Hemet, CA 92544-4711
Phone (951) 414-4011
Other practice location 1
28400 McCall Blvd
Menifee, CA 92585-9658
Phone (951) 679-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A200832 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1083326615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 E FLORIDA AVE STE 104",
"city": "HEMET",
"state": "CA",
"postal_code": "925444711",
"telephone_number": "951-414-4011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 E DEVONSHIRE AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433083",
"telephone_number": "951-652-2811"
}
],
"practiceLocations": [
{
"address_1": "28400 McCall Blvd",
"address_purpose": "LOCATION",
"city": "Menifee",
"state": "CA",
"postal_code": "925859658",
"country_code": "US",
"telephone_number": "951-679-8888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JASSIM",
"first_name": "MOHAMMED",
"middle_name": "ABBAS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-12-14",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A200832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.