Mohammad Azeem Mojaddidi

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3100 Telegraph Ave
Oakland, CA 94609-3239

Phone

(800) 607-6377

NPI assigned

Nov 8, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19211/brand/1/csg/1/fhir/r4

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.

• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Lafayette, CA
  • NPI 1891132106

  CA

  Medicare reassignment Care Compare group NPD
• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Brentwood, CA
  • NPI 1265169643
  Care Compare group NPD
• Sinu-Clear Inc

  • Otolaryngology Physician
  • Encino, CA
  • NPI 1831298751

  CA

  Medicare reassignment
• Stat Med PC a California Medical Professional Corporation

  • Urgent Care Clinic/Center
  • Concord, CA
  • NPI 1508302977
  Care Compare group

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stat Med PC a California Medical Professional Corporation 15 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1194549972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 TARA CT",
            "city": "CLAYTON",
            "state": "CA",
            "postal_code": "945171069",
            "telephone_number": "925-305-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 TELEGRAPH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093239",
            "telephone_number": "800-607-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJADDIDI",
        "first_name": "MOHAMMAD",
        "middle_name": "AZEEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prita Mohanty, MD
• Moheb DMD Inc
• Kristina Mohler
• Nigeena Mohsini
• Cecelia Moisan
• Sayani Mojica
• Jessica Jessica Wing Mok, OT
• Oliver Jacob Mok, DPT
• Siu Wai Mok
• Samira Molaei, MD

• All providers in Oakland, CA
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.