Individual provider Active NPI

Mohamed A Weheliye

  • Transportation Broker
  • La Mesa, CA
National Provider Identifier
1184254229
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
License
TCP38367 Issued in CA
Practice address
5401 Baltimore Dr Apt 54
La Mesa, CA 91942-5013
Phone
(619) 337-5119
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X TCP38367 CA Primary

Addresses

Primary practice location

5401 Baltimore Dr Apt 54
La Mesa, CA 91942-5013

Mailing address

5401 Baltimore Dr Apt 54
La Mesa, CA 91942-5013
Phone (619) 337-5119

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

State licenses

LicenseStateTypeSpecialty
TCP38367CAMDTransportation Broker

Practice roles

OrganizationSpecialtyStatusNew patients
Jowhar Transportation LLC CurrentSince Feb 2, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1184254229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 BALTIMORE DR APT 54",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425013",
            "telephone_number": "619-337-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 BALTIMORE DR APT 54",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919425013",
            "telephone_number": "619-337-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEHELIYE",
        "first_name": "MOHAMED",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "CA",
            "license": "TCP38367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.