Active NPI
Mohammed Radmard, MD
- Anesthesiology Physician
- Redlands, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- C134911
- Practice address
- 2 W Fern Ave
Redlands, CA 92373-5916 - Phone
- (909) 793-3311
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301074669 | MI | |
| Anesthesiology Physician | 207L00000X | 042893 | CT | |
| Anesthesiology Physician | 207L00000X | C134911 | CA | Primary |
Addresses
Primary practice location
2 W Fern Ave
Redlands, CA 92373-5916
Mailing address
PO Box 10069
San Bernardino, CA 92423-0069
Phone (909) 335-4188
Other practice location 1
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3051
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001428938 | Medicaid | CT |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151007000538 | CA | Practitioner - Anesthesiology | 5395700264 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Darin Rentz DO PC
Practice addresses (Care Compare)
350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5593
Hospital & facility affiliations
- Redlands Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 134911 | CA | MD | Clinical Social Worker |
| C134911 | CA | MD | Anesthesiology Physician |
| 042893 | CT | MD | Anesthesiology Physician |
| 4301074669 | MI | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Beaver Medical Group P C | Current | Accepting new patients | |
| Darin Rentz DO PC | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| Beaver Medical Group P C | Anesthesiology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Bloomfield Anesthesia, PC | Anesthesiology | Past | Accepting new patients |
| Waterford Surgical Center, LLC | Past | Accepting new patients | |
| Northstar Anesthesia of Michigan II PC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of Fairfield LLC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Associates of Southern Connecticut, LLC | Anesthesiology | Past | Accepting new patients |
| University Anesthesia Services LLC | Anesthesiology | Past | Accepting new patients |
| Waterford Anesthesia, PLLC | Anesthesiology | Past | Accepting new patients |
| Connecticut Anesthesia of Fairfield LLC | Anesthesiology | Past | Accepting new patients |
Locations
600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287
1124 S Main St
Ste 101
Corona, CA 92882
Phone (951) 737-6363
9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
1901 W Lugonia Ave
Ste 100
Redlands, CA 92374
Phone (909) 557-1700
350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500
2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137
2 W Fern Ave
#1112
Redlands, CA 92373
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
Organizations & group practices 15
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.
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- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
Anesthesiology, CA
-
- Health Maintenance Organization
- Riverside, CA
- NPI 1316979834
CA
-
- Physical Therapist
- Redlands, CA
- NPI 1427090281
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Health Maintenance Organization
- Fontana, CA
- NPI 1689606196
-
- Anesthesiology Physician
- New Canaan, CT
- NPI 1871549717
Anesthesiology
-
- Pain Medicine (Anesthesiology) Physician
- Norwalk, CT
- NPI 1770572141
Anesthesiology
-
- Anesthesiology Physician
- Fairfield, CT
- NPI 1356380646
Anesthesiology
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
Anesthesiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598313600000",
"number": "1295889129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10069",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924230069",
"telephone_number": "909-335-4188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 W FERN AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735916",
"telephone_number": "909-793-3311"
}
],
"practiceLocations": [
{
"address_1": "44405 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483415023",
"country_code": "US",
"telephone_number": "248-858-3051",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADMARD",
"first_name": "MOHAMMED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2020-08-25",
"certification_date": "2020-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301074669",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "042893",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "C134911",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001428938",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.