NPIMap

Individual provider Active NPI

Mohammad Amjad Arain, M.D.

  • Internal Medicine Physician
  • Santa Maria, CA
National Provider Identifier
1639167158
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A38905 Issued in CA
Practice address
1505 Shepard Dr
Suite 131
Santa Maria, CA 93454-7020
Phone
(805) 928-2645
Fax
(805) 928-1995
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A38905 CA Primary

Addresses

Primary practice location

1505 Shepard Dr
Suite 131
Santa Maria, CA 93454-7020

Mailing address

1505 Shepard Dr
Ste 104
Santa Maria, CA 93454-7016
Phone (805) 928-2645

Other identifiers 2

IdentifierTypeStateIssuer
00A389050MedicaidCA
00A389050OtherCABLUESHIELD PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100126000828 CA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric Medicine 1951341692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1505 S Shepard Dr
Suite 104
Santa Maria, CA 93454-7016
Phone (805) 928-2645

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38905CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Coast Family Care Medical Associates, Inc. CurrentSince Apr 1, 1998 Accepting new patients
Central Coast Family Care Medical Associates, Inc Current Accepting new patients
Central Coast Family Care Medical Associates, Inc Internal Medicine CurrentSince Apr 1, 1998 Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Central Coast Family Care Medical Associates, Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Mohammad Afzal Arain MD Inc PastSince Aug 10, 2009 Accepting new patients

Locations

1505 Shepard Dr
Ste 131
Santa Maria, CA 93454
Phone (805) 928-2645

821 E Chapel St
Ste 203
Santa Maria, CA 93454
Phone (805) 354-5200

1505 Shepard Dr
Ste 104
Santa Maria, CA 93454
Phone (805) 928-2645

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1639167158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR",
            "address_2": "STE 104",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547016",
            "telephone_number": "805-928-2645",
            "fax_number": "805-928-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SHEPARD DR",
            "address_2": "SUITE 131",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934547020",
            "telephone_number": "805-928-2645",
            "fax_number": "805-928-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAIN",
        "first_name": "MOHAMMAD",
        "middle_name": "AMJAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A389050",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD PROVIDER #",
            "identifier": "00A389050",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.