Saquib Mohammed, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

95034566 Issued in CA

Practice address

2680 E Riverside Dr
Ontario, CA 91761-7307

Phone

(909) 469-9013

Fax

(909) 469-9014

NPI assigned

Aug 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

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

State licenses

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mohammed.saquib.p3@direct.parktreechc.nextgenshare.com

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1205380060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8875 SOOTHING CT",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835985",
            "telephone_number": "818-938-6183",
            "fax_number": "818-338-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E RIVERSIDE DR",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917617307",
            "telephone_number": "909-469-9013",
            "fax_number": "909-469-9014"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 Hallmark Pkwy",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924071876",
            "country_code": "US",
            "telephone_number": "909-880-3652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1556 S Sultana Ave",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917614238",
            "country_code": "US",
            "telephone_number": "909-469-9017",
            "fax_number": "909-984-7268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 E Holt Ave",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917675822",
            "country_code": "US",
            "telephone_number": "909-630-7927",
            "fax_number": "909-865-2624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "SAQUIB",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-10",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95034566",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP53016",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH82668",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NM",
            "license": "RP00008566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Lakesha Mixon
• Megan Midori Miyamura, RN
• Russell G Mobley, PA-C
• Dominique Y Moffett
• Diana Mogollon Sanchez
• Amira Mohd Yusof
• Loremari Samantha Mohr
• Melinda Mojica, MS, AMFT
• Molina Healthcare of California
• Anissa Molina

• Nurse Practitioner in Ontario, CA
• Providers in Ontario, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.