Barzan Mohedin, MD, a Professional Corporation

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

A50839 Issued in CA

Legal business name

BARZAN MOHEDIN, MD, A PROFESSIONAL CORPORATION

Practice address

8860 Center Dr
Suite 310
La Mesa, CA 91942-3068

Phone

(619) 668-9596

Fax

(619) 667-0267

NPI assigned

Jun 2, 2010

Organization subpart

No

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

Authorized official

Name

Barzan Mohedin, MDNPI 1639235096

Title

Owner

Phone

(619) 668-9596

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barzan Mohedin, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • La Mesa, CA
  • NPI 1639235096
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1427378363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE 310",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-668-9596",
            "fax_number": "619-667-0267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8860 CENTER DR",
            "address_2": "SUITE 310",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423068",
            "telephone_number": "619-668-9596",
            "fax_number": "619-667-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARZAN MOHEDIN, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-02",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "MOHEDIN",
        "authorized_official_first_name": "BARZAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-668-9596",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50839",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A50839",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A50839",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A508390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S Bartholow, PH.D.
• Patricia A Bartholow, LCSW
• Jennifer Bartindale
• Richard Sommerville Bartlett Jr., DDS
• Sharon E Barton, MFT
• Reema R. Batra, MD
• Patricia Bauer, PHD
• Cynthia M Bazan, CMT
• Brook Darrett Beall, MD
• Latrisha Beaner

• Critical Care Medicine (Internal Medicine) Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Critical Care Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.