Karim Ibrahim Mohamed, MD
Individual provider Active NPI Pediatrics Physician · Lompoc, CA
NPI 1699846352 · NPPES record last updated Apr 29, 2014
Key facts
- NPI
- 1699846352
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- A76701 (CA)
- Practice address
- 1225 N H St
Lompoc, CA 93436-3301 - Phone
- (805) 737-8760
- Fax
- (805) 737-8760
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100302000148 | CA | Practitioner - Pediatric Medicine | 7618951443 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76701 | CA | MD | Pediatrics Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Roads Foundation, Inc. | Current |
Accepting new patients | |
| St. Johns Community Health | Current |
Accepting new patients | |
| St. Johns Community Health | Current |
Accepting new patients | |
| St. Johns Community Health | Current | Accepting new patients | |
| Sushil Anand & Associates Medical Corp | Pediatrics | Past | Accepting new patients |
| Urgent Care Physician Medical Group | Past | Accepting new patients |
Locations
121 S Long Beach Blvd
Compton, CA 90221
Phone (310) 627-5850
2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332
4800 E Los Coyotes Diagonal
Long Beach, CA 90815
Phone (310) 627-5850
5701 S Hoover St
Los Angeles, CA 90037
Phone (323) 541-1400
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFCDAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A76701 | CA | Yes |
Addresses
Primary practice location
1225 N H St
Lompoc, CA 93436-3301
Mailing address
PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 737-8760
Other providers in Lompoc, CA
- James Edward Mitchell
- Jeremy Mitchell
- Shereen Mizany
- Haley Mogensen
- Daniel S Moghadam
- Kiele Teresa Mohre
- Joseph Louis Montano
- David Montee
- Yoshary Montelongo
- Frank Montoya Jr.
All providers in Lompoc, CA · Pediatrics Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.