Individual provider Active NPI

Jahangir Mahmoudi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Yuba City, CA
National Provider Identifier
1669478491
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A-29722 Issued in CA
Practice address
1290 Lincoln Rd
Ste 2
Yuba City, CA 95991-6553
Phone
(530) 674-7655
Fax
(530) 674-7657
NPI assigned
Jun 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A-29722 CA Primary

Addresses

Primary practice location

1290 Lincoln Rd
Ste 2
Yuba City, CA 95991-6553

Mailing address

1290 Lincoln Rd
Ste 2
Yuba City, CA 95991-6553
Phone (530) 674-7655

Other identifiers 1

IdentifierTypeStateIssuer
00A297220MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101101001389 CA Practitioner - Internal MedicinePractitioner - NeurologyPractitioner - Endocrinology 3274727433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology, Neurology
Education
Other, 1968
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1290 Lincoln Rd
Yuba City, CA 95991-6735

Hospital & facility affiliations

  • Oroville Hospital Hospital, Oroville, CA, CCN 050030
  • Adventist Health and Rideout Hospital, Marysville, CA, CCN 050133
  • Colusa Medical Center Hospital, Colusa, CA, CCN 050783
  • Orchard Hospital Hospital, Gridley, CA, CCN 051311
  • Enloe Health Hospital, Chico, CA, CCN 050039

Merit-based Incentive Payment System (MIPS)

Final score
20.15 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
67.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A-29722CAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jahangir Mahmoudi,M.D.Inc Endocrinology, Diabetes & Metabolism CurrentSince Jun 27, 2010 Accepting new patients
Oroville Hospital PastSince Jun 27, 2010 Accepting new patients

Locations

1290 Lincoln Rd
Ste 2
Yuba City, CA 95991
Phone (530) 674-7655

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.

Hospital & facility affiliations 5

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1669478491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 LINCOLN RD",
            "address_2": "STE 2",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916553",
            "telephone_number": "530-674-7655",
            "fax_number": "530-674-7657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 LINCOLN RD",
            "address_2": "STE 2",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916553",
            "telephone_number": "530-674-7655",
            "fax_number": "530-674-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHMOUDI",
        "first_name": "JAHANGIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A-29722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A297220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.