Individual provider Active NPI

Jamal Mujaddid Mohammed, MD

  • Sleep Medicine (Family Medicine) Physician
  • Mather, CA
National Provider Identifier
1366679615
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
A126021 Issued in CA
Practice address
10535 Hospital Way BLDG 727
Mather, CA 95655-4200
Phone
(916) 734-3575
Fax
(916) 734-7924
NPI assigned
Jun 14, 2009
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10035328 TX
Family Medicine Physician 207Q00000X P3392 TX
Sleep Medicine (Family Medicine) Physician 207QS1201X A126021 CA Primary

Addresses

Primary practice location

10535 Hospital Way BLDG 727
Mather, CA 95655-4200

Mailing address

10535 Hospital Way BLDG 727
Mather, CA 95655-4200
Phone (916) 843-7306

Other practice location 1

8909 Brecon Way
Elk Grove, CA 95624-5202
Phone (832) 488-5529

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
I20140822002584 CA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 3779731997 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
126021CAMDMarriage & Family Therapist
BP10035328TXMDFamily Medicine Physician
A126021CAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Jamal Mujaddid Mohammed, M.D., Inc. Sleep Medicine CurrentSince Jan 1, 2024 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2014 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 1, 2014 Accepting new patients
Harris County Hospital District Past Accepting new patients
Essent PRMC LP Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

8110 Laguna Blvd
Elk Grove, CA 95758
Phone (916) 683-3955

9390 Big Horn Blvd
Ste 120
Elk Grove, CA 95758

2825 J St
Sacramento, CA 95816
Phone (916) 734-0779

3160 Folsom Blvd
Ste 2100
Sacramento, CA 95816
Phone (916) 734-3588

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1366679615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY BLDG 727",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-843-7306",
            "fax_number": "916-364-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 HOSPITAL WAY BLDG 727",
            "city": "MATHER",
            "state": "CA",
            "postal_code": "956554200",
            "telephone_number": "916-734-3575",
            "fax_number": "916-734-7924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8909 Brecon Way",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956245202",
            "country_code": "US",
            "telephone_number": "832-488-5529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMED",
        "first_name": "JAMAL MUJADDID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10035328",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P3392",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A126021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mather, CA

Sources for this page

Verify at the official NPI Registry.