Organization Active NPI

Medical Consultants of America a Professional Corporation

  • Hospitalist Physician
  • Santa Rosa, CA
National Provider Identifier
1245486711
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A103416 Issued in CA
Legal business name
MEDICAL CONSULTANTS OF AMERICA A PROFESSIONAL CORPORATION
Practice address
1165 Montgomery Dr
Hospitalist Department
Santa Rosa, CA 95405-4801
Phone
(707) 481-0537
NPI assigned
Aug 15, 2008
Last updated
Jan 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Mujeeb Altaf, M.B.B.S.;MRCPNPI 1316125941
Title
Sole Proprietor
Phone
(707) 481-0537

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A103416 CA Primary

Addresses

Primary practice location

1165 Montgomery Dr
Hospitalist Department
Santa Rosa, CA 95405-4801

Mailing address

2777 Yulupa Ave
#402
Santa Rosa, CA 95405-8584
Phone (707) 481-0537

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000427 CA Part B Supplier - Clinic/Group Practice 6103988597 Receives reassigned benefits from 1 practitioner
Practice locations: Santa Rosa, CA

National Provider Directory

National Provider Directory

Locations

2777 Yulupa Ave
Santa Rosa, CA 95405
Phone (707) 481-0537

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1245486711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 YULUPA AVE",
            "address_2": "#402",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954058584",
            "telephone_number": "707-481-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 MONTGOMERY DR",
            "address_2": "HOSPITALIST DEPARTMENT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054801",
            "telephone_number": "707-481-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CONSULTANTS OF AMERICA A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "ALTAF",
        "authorized_official_first_name": "MUJEEB",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "707-481-0537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.B.B.S.;MRCP"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A103416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.