Organization Active NPI

Mohammad Riaz MD Incorporated

  • General Practice Physician
  • Paramount, CA
National Provider Identifier
1104014414
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A32746 Issued in CA
Legal business name
MOHAMMAD RIAZ MD INCORPORATED
Practice address
16444 Paramount Blvd Ste 103
Paramount, CA 90723-5453
Phone
(562) 531-7790
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Authorized official

Name
Mr. Mohammad Riaz, MDNPI 1396770103
Title
Owner
Phone
(562) 531-7790

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A32746 CA Primary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X A91582 CA

Addresses

Primary practice location

16444 Paramount Blvd Ste 103
Paramount, CA 90723-5453

Mailing address

16444 Paramount Blvd Ste 103
Paramount, CA 90723-5453
Phone (562) 531-7790

Other identifiers 1

IdentifierTypeStateIssuer
GR0056880MedicaidCA

Other names 1

  • MERCY MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060224000128 CA Part B Supplier - Clinic/Group Practice 8426064783 Receives reassigned benefits from 2 practitioners
Practice locations: Paramount, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0874395Mercy Medical Center16444 Paramount Blvd Suite 103, Paramount, CA 90723Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

Locations

16444 Paramount Blvd
Ste 103
Paramount, CA 90723
Phone (562) 531-2290

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1104014414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD STE 103",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235453",
            "telephone_number": "562-531-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16444 PARAMOUNT BLVD STE 103",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235453",
            "telephone_number": "562-531-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD RIAZ MD INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "RIAZ",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-531-7790",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A32746",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A91582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0056880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramount, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.