Individual provider Active NPI

Aisha Mohammadi

  • Speech-Language Assistant
  • Sacramento, CA
National Provider Identifier
1558039875
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
6273 Issued in CA
Practice address
3416 American River Dr.
Suite B
Sacramento, CA 95864-5753
Phone
(916) 979-0497
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 2355S0801X 6273 CA Primary

Addresses

Primary practice location

3416 American River Dr.
Suite B
Sacramento, CA 95864-5753

Mailing address

3416 American River Dr.
Ste B
Sacramento, CA 95864-5753

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amohammadi@dtsofsac.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6273CAMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Developmental Occupational Therapy Multi-Specialty CurrentSince Feb 25, 2024 Accepting new patients
Developmental Occupational Therapy PastSince Sep 5, 2021 Accepting new patients

Locations

3416 American River Dr
Ste B
Sacramento, CA 95864
Phone (916) 979-0497

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1558039875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 AMERICAN RIVER DR.",
            "address_2": "STE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 AMERICAN RIVER DR.",
            "address_2": "SUITE B",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958645753",
            "telephone_number": "916-979-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMADI",
        "first_name": "AISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "6273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amohammadi@dtsofsac.com",
            "affiliation": "N",
            "endpointDescription": "professional office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3416 American River Dr Ste B",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958645753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.