Active NPI
Marzia Mujaddide, PA-C
- Physician Assistant
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 22212
- Practice address
- 600 Coffee Rd
Modesto, CA 95355-4201 - Phone
- (209) 569-7408
- NPI assigned
- Jan 29, 2013
- Last updated
- Mar 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 22212 | CA | Primary |
Addresses
Primary practice location
600 Coffee Rd
Modesto, CA 95355-4201
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Stanford University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19845 Lake Chabot Rd
Suite 205
Castro Valley, CA 94546-4055
Phone (510) 582-6424
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
Locations
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
179 Fairview Ln
Sonora, CA 95370
Phone (209) 536-3850
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
Interoperability endpoints
- mmujaddide166948@hpmg.direct-ci.net
Organizations & group practices 31
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.
-
- Family Medicine Physician
- Castro Valley, CA
- NPI 1306244850
-
dba Sutter Gould Medical Foundation
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
dba Vituity
- Emergency Medicine Physician
- Truckee, CA
- NPI 1215365218
-
dba City Health Urgent Care
- Multi-Specialty Clinic/Center
- San Leandro, CA
- NPI 1477940187
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1821190711
-
- Internal Medicine Physician
- Sacramento, CA
- NPI 1982113494
-
- Internal Medicine Physician
- Merced, CA
- NPI 1730431875
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1487125019
-
- Anesthesiology Physician
- San Francisco, CA
- NPI 1528137296
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Eden Medical Center
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614556800000",
"number": "1548508369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554201",
"telephone_number": "209-569-7408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUJADDIDE",
"first_name": "MARZIA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "22212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.