Individual provider Active NPI

Mohammed Radmard, MD

  • Anesthesiology Physician
  • Redlands, CA
National Provider Identifier
1295889129
Registry record updated Aug 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C134911 Issued in CA
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

Updated by the provider on Aug 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001428938MedicaidCT

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
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 PCGroup PAC ID 7315333853, 131 clinicians

Practice addresses (Care Compare)

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5593

Hospital & facility affiliations

  • Redlands Community Hospital Hospital, Redlands, CA, CCN 050272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134911CAMDClinical Social Worker
C134911CAMDAnesthesiology Physician
042893CTMDAnesthesiology Physician
4301074669MIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Aug 25, 2015 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Beaver Medical Group P C CurrentSince Aug 12, 2020 Accepting new patients
Darin Rentz DO PC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Allied Anesthesia Medical Group Inc Anesthesiology CurrentSince Jul 1, 2018 Accepting new patients
Beaver Medical Group P C Anesthesiology CurrentSince Aug 12, 2020 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 25, 2015 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.

View all 15

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

Verify at the official NPI Registry.