Organization Active NPI

Alex Shokouhi Mohseni MD PC

  • Internal Medicine Physician
  • San Mateo, CA
National Provider Identifier
1558051987
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALEX SHOKOUHI MOHSENI MD PC
Practice address
1764 Hamlet St
San Mateo, CA 94403-1111
Phone
(469) 209-1802
NPI assigned
May 9, 2023
Organization subpart
Yes
Parent organization
ALEX SHOKOUHI MOHSENI MD PCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Dr. Alex Mohseni, MD
Title
President
Phone
(469) 209-1802

National Provider Directory

National Provider Directory
Part of
Alex Shokouhi Mohseni MD PC

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1764 Hamlet St
San Mateo, CA 94403-1111

Mailing address

8951 Cypress Waters Blvd Ste 160-1045
Coppell, TX 75019-4661
Phone (469) 209-1802

Other names 1

NPPES NPI Registry
  • Baker Street CA PC Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 9, 2023.

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1558051987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 CYPRESS WATERS BLVD STE 160-1045",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194661",
            "telephone_number": "469-209-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 HAMLET ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031111",
            "telephone_number": "469-209-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX SHOKOUHI MOHSENI MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEX SHOKOUHI MOHSENI MD PC",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "MOHSENI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-209-1802",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baker Street CA PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.