Active NPI
Alex Shokouhi Mohseni MD PC
- Internal Medicine Physician
- San Mateo, CA
National Provider Identifier
1558051987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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 PC
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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.