Mohammad Haghdoost MD Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A111081 Issued in CA

Legal business name

MOHAMMAD HAGHDOOST MD MEDICAL CORPORATION

Doing business as

Mohammad Haghdoost MD Medical Corporation

Practice address

1144 Norman Dr Ste 204
Manteca, CA 95336-5960

Phone

(209) 665-4252

Fax

(866) 589-7497

NPI assigned

Aug 28, 2018

Last updated

Apr 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Haghdoost, MDNPI 1710291570

Title

Owner

Phone

(650) 804-4610

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MOHAMMAD HAGHDOOST MD MEDICAL CORPORATION Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mohammad Haghdoost, M.D.

  • General Practice Physician
  • Manteca, CA
  • NPI 1710291570

  Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1535414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1427539287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953661227",
            "telephone_number": "650-804-4610",
            "fax_number": "866-589-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 NORMAN DR STE 204",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365960",
            "telephone_number": "209-665-4252",
            "fax_number": "866-589-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD HAGHDOOST MD MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-28",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "HAGHDOOST",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-804-4610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A111081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGERY",
            "identifier": "A111081",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427539287",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOHAMMAD HAGHDOOST MD MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mircea Catalin Mitu, DDS
• Tonisha Mixon
• Hitshkumar Manubhai Modi, D.D.S
• Jayshree Mahesh Modi, RPH
• Ma Aye A. Moe, MD
• Rebecca Lynn Mohr, LPT
• Anna Moniz
• Lisa Monroe
• Brandy R Montalbo-Saldivar
• Corina Marie Montes

• Surgery Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.