Muhammad Iqbal Choudhry, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA22146 Issued in CA

Practice address

1775 Third Street
Atwater, CA 95301

Phone

(209) 358-5611

Fax

(209) 358-0219

NPI assigned

Apr 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

California Dreams Medical Corporation PCGroup PAC ID 7113353160, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph's Medical Center of Stockton Hospital, Stockton, CA, CCN 050084

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCGBCD

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.

• California Dreams Medical Corporation PC

  dba American Family Care

  • Urgent Care Clinic/Center
  • Fresno, CA
  • NPI 1487299699
  Medicare reassignment Care Compare group
• Todos Para la Salud

  • Clinic/Center
  • Fresno, CA
  • NPI 1184164873
  Medicare reassignment
• Todos Para la Salud

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1073321543
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Port City Operating Company, LLC

  dba St. Joseph's Medical Center of Stockton

  • General Acute Care Hospital
  • Stockton, CA
  • NPI 1528190931
  Care Compare affiliation

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1396003588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E CLINTON WAY",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271560",
            "telephone_number": "559-443-2682",
            "fax_number": "559-443-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 THIRD STREET",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "95301",
            "telephone_number": "209-358-5611",
            "fax_number": "209-358-0219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOUDHRY",
        "first_name": "MUHAMMAD",
        "middle_name": "IQBAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-25",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA22146",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA22146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tahir-yaqub@atwatermedical.e-mdsdirect.com",
            "affiliation": "N",
            "address_1": "1775 Third Street",
            "city": "Atwater",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fanshawe Cheng
• Jing-XI Cheng
• Sai Chia, PHARM D
• Bernadette Llenado Chiu, MD
• Cho Dental Corporation
• Christina Baek, DDS, PC
• Bianey Cisneros-Anzures
• Angela Cisneros
• Sandeep Kaur Claire, PHARM D
• Cristy Clinghan

• Surgical Physician Assistant in Atwater, CA
• Providers in Atwater, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.

Verify at the official NPI Registry.