NPIMap

Individual provider Active NPI

Aly M Mohamed, MD

  • Gastroenterology Physician
  • Santa Cruz, CA
National Provider Identifier
1659637544
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A154654 Issued in CA
Practice address
1662 Dominican Way
Santa Cruz, CA 95065-1522
Phone
(831) 460-7350
NPI assigned
Apr 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X A154654 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X NM
Internal Medicine Physician 207R00000X 125061304 IL
Internal Medicine Physician 207R00000X MD2015-0700 NM

Addresses

Primary practice location

1662 Dominican Way
Santa Cruz, CA 95065-1522

Mailing address

16185 Los Gatos Blvd Ste 205
Los Gatos, CA 95032-4569
Phone (541) 908-2316

Other practice location 1

240 Westgate Dr Ste 201
Watsonville, CA 95076-2500
Phone (541) 908-2316

Other practice location 2

14513 S Bascom Ave
Los Gatos, CA 95032-2003
Phone (541) 908-2316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180816001273 CA Practitioner - Gastroenterology 6204145204 Reassigns benefits to 1 organization
I20241217000916 OR Practitioner - Gastroenterology 6204145204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Medical College of Wisconsin, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14513 S Bascom Ave
Los Gatos, CA 95032-2003

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy105
Upper gastrointestinal (GI) endoscopy for acid reflux179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125061304ILMDInternal Medicine Physician
A154654CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine CurrentSince Dec 2, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Internal Medicine Current Accepting new patients
Mercy Gate Foundation Internal Medicine CurrentSince May 25, 2025 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Dec 2, 2024 Accepting new patients
Mercy Gate Medical, P.C. Internal Medicine Current Accepting new patients
Mercy Gate Medical, Inc Gastroenterology CurrentSince Aug 30, 2024 Accepting new patients

Locations

14513 S Bascom Ave
Los Gatos, CA 95032
Phone (408) 599-1785

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

2875 NE Stucki Ave
Hillsboro, OR 97124
Phone (866) 280-0511

500 NE Multnomah St
Ste 100
Portland, OR 97232
Phone (503) 499-5200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

Interoperability endpoints

  • Direct secure messaging: aly.mohamed@909092316971012.direct.elationemr.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1659637544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16185 LOS GATOS BLVD STE 205",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950324569",
            "telephone_number": "541-908-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 DOMINICAN WAY",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651522",
            "telephone_number": "831-460-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Westgate Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762500",
            "country_code": "US",
            "telephone_number": "541-908-2316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14513 S Bascom Ave",
            "address_purpose": "LOCATION",
            "city": "Los Gatos",
            "state": "CA",
            "postal_code": "950322003",
            "country_code": "US",
            "telephone_number": "541-908-2316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ALY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A154654",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125061304",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "MD2015-0700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.