Individual provider Active NPI

Sophia Mohammad, M.D.

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1295049864
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A122219 Issued in CA
Practice address
2728 Aborn Rd
San Jose, CA 95121-1204
Phone
(408) 270-2100
Fax
(877) 991-7426
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A122219 CA Primary

Addresses

Primary practice location

2728 Aborn Rd
San Jose, CA 95121-1204

Mailing address

2728 Aborn Rd
San Jose, CA 95121-1204
Phone (408) 270-2100

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140523001594 CA Practitioner - Family Practice 6406079219 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2728 Aborn Rd
San Jose, CA 95121-1204
Phone (408) 270-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A122219CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shahida Mohammad, MD Inc Family Medicine Current Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

2728 Aborn Rd
San Jose, CA 95121
Phone (408) 270-2100

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441152000000",
    "number": "1295049864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-270-2100",
            "fax_number": "877-991-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-270-2100",
            "fax_number": "877-991-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "SOPHIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2015-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A122219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.