Alireza S Mola, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62246 Issued in CA

Practice address

145 E 14TH St Ste 100
San Leandro, CA 94577-1661

Phone

(510) 590-7297

Fax

(510) 633-0101

NPI assigned

May 8, 2013

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

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• A Mola DDS Apc

  • General Practice Dentistry
  • San Rafael, CA
  • NPI 1043791890
  NPD (past) Authorized official

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367971200000",
    "number": "1467897066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E 14TH ST STE 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771661",
            "telephone_number": "510-590-7297",
            "fax_number": "510-633-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E 14TH ST STE 100",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771661",
            "telephone_number": "510-590-7297",
            "fax_number": "510-633-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLA",
        "first_name": "ALIREZA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaheen Mohamed
• Ahmad Jamal Mohammad, CRNA
• Ahlam Mohsen Mohammed
• Somia Mohanty, MD
• Aurora Michelle Mohr
• Jason Alejandro Molina
• Jessica Molina
• Mauricio Molina
• Rowena Moll-Johnson
• Rominder Momi, M.D.

• General Practice Dentistry in San Leandro, CA
• Providers in San Leandro, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.