NPIMap

Individual provider Active NPI

Mohamed Nassar

  • Internal Medicine Physician
  • Redlands, CA
National Provider Identifier
1346545043
Registry record updated Mar 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C162298 Issued in CA
Practice address
255 Terracina Blvd Ste 105
Redlands, CA 92373-4870
Phone
(909) 793-0323
NPI assigned
Jan 11, 2011
Last updated
Mar 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C162298 CA Primary

Addresses

Primary practice location

255 Terracina Blvd Ste 105
Redlands, CA 92373-4870

Mailing address

255 Terracina Blvd Ste 105
Redlands, CA 92373-4870
Phone (909) 793-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200128001223 CA Practitioner - Internal Medicine 0749459550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hsi Services IncGroup PAC ID 2365871522, 3 clinicians

Practice addresses (Care Compare)

255 Terracina Blvd
Suite 105
Redlands, CA 92373-4870
Phone (909) 793-0323

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C162298CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hsi Services Inc Internal Medicine Current Accepting new patients
Redlands Community Hospital General Acute Care Hospital Past Accepting new patients
Warsaw Health System LLC General Acute Care Hospital Past Accepting new patients
Iom Health System LP General Acute Care Hospital Past Accepting new patients
Rome Memorial Hospital, Inc. General Acute Care Hospital Past Accepting new patients
Upmc Pinnacle Hospitals General Acute Care Hospital Past Accepting new patients
Genesis Health System Past Accepting new patients
Ascension All Saints Hospital, Inc General Acute Care Hospital Past Accepting new patients
DLP Conemaugh Memorial Medical Center LLC General Acute Care Hospital Past Accepting new patients
Rural Physicians Group-Pannu PLLC Internal Medicine Past Accepting new patients

Locations

255 Terracina Blvd
Ste 105
Redlands, CA 92373
Phone (909) 793-0323

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Plymouth VillageRedlands, CA, CCN 055914 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2020
Jul 1, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Humangood Norcal

    dba Plymouth Village

    • Skilled Nursing Facility
    • Redlands, CA
    • NPI 1982789343

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583452800000",
    "number": "1346545043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-793-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TERRACINA BLVD STE 105",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734870",
            "telephone_number": "909-793-0323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSAR",
        "first_name": "MOHAMED",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-11",
        "last_updated": "2020-03-06",
        "certification_date": "2020-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C162298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.