Mohammad R Naghibi, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA21295 Issued in CA

Practice address

9601 Wilshire Blvd
Suite 1170
Beverly Hills, CA 90210-5213

Phone

(310) 642-7774

NPI assigned

Nov 2, 2010

Last updated

Aug 5, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Izuchukwu Okpara MD IncGroup PAC ID 1052698966, 45 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Izuchukwu Okpara MD Inc

  dba Omni Wound Physicians

  • Surgery Physician
  • Valencia, CA
  • NPI 1679004592
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1710287032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 WILSHIRE BLVD",
            "address_2": "SUITE 1170",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105213",
            "telephone_number": "310-642-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 WILSHIRE BLVD",
            "address_2": "SUITE 1170",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105213",
            "telephone_number": "310-642-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGHIBI",
        "first_name": "MOHAMMAD",
        "middle_name": "R",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT COMMITTEE, MEDICAL BOARD OF CALIFORNIA",
            "identifier": "PA21295",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharareh Saidian Nafeh, LMFT
• Mohamad Djavad Naficy, M.D.
• Christina A Nagami, DDS
• Casey James Nagel, M.D.
• Ronald Abraham Nagel, M.D.
• Parimal Jayanand Nagjee, DDS
• Jennifer Nahum, LCSW
• Dan Israel Naim, M.D.
• Sam Najmabadi, MD
• Zam Tara Nakhjiri, DDS DENTIST

• Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.