Ghulam Moheyuddin, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A26231 Issued in CA

Practice address

930 Sunnyslope Rd Ste A2
Hollister, CA 95023-5616

Phone

(831) 637-3766

Fax

(831) 637-3679

NPI assigned

Aug 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• G. Moheyuddin Professional name

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

Specialty

General SurgeryAlso: Internal Medicine

Education

Other, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hazel Hawkins Memorial HospitalGroup PAC ID 9133038326, 52 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hazel Hawkins Memorial Hospital

  dba San Benito Health Care District

  • General Acute Care Hospital
  • Hollister, CA
  • NPI 1275578817
  Medicare reassignment Care Compare group NPD
• Cytodiagnostics

  • Anatomic Pathology & Clinical Pathology Physician
  • Hollister, CA
  • NPI 1396739074
  NPD
• Hazel Hawkins Memorial Hospital

  dba Hazel Hawkins primary Care & Surgical Specialty Center

  • Rural Health Clinic/Center
  • Hollister, CA
  • NPI 1013628353
  NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447365036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD STE A2",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235616",
            "telephone_number": "831-637-3766",
            "fax_number": "831-637-3679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNNYSLOPE RD STE A2",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235616",
            "telephone_number": "831-637-3766",
            "fax_number": "831-637-3679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEYUDDIN",
        "first_name": "GHULAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A26231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A262310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G.",
            "last_name": "MOHEYUDDIN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Geralyn M Menold, D.D.S.
• Jerry Mermis, MFT
• Kathy Meza
• Vincent Miguel, PHARMACIST
• Antonella Millett, FMG
• Amanda Kiana Moisa
• Mariah Aisha Mojica
• Melissa Molina-Casas, LCSW
• Quinn Montgomery, DDS
• Anita Mora, BA

• Specialist in Hollister, CA
• Providers in Hollister, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.