Mohammad S Alwattar, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A49352 Issued in CA

Practice address

17772 Beach Blvd
Huntington Beach, CA 92647

Phone

(714) 842-1473

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Specialty

Emergency Medicine

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardinal Emergency Providers Professional CorporationGroup PAC ID 3072005354, 28 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Cardinal Emergency Providers Professional Corporation

  • Emergency Medicine Physician
  • Redding, CA
  • NPI 1356226690
  Care Compare group
• Huntington Beach Medical Group

  • Emergency Care Clinic/Center
  • Huntington Beach, CA
  • NPI 1437254273
  NPD (past)
• Pacifica Emergency Medical Associates

  • Emergency Medicine Physician
  • Encino, CA
  • NPI 1053350975
  NPD (past)

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

• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770693541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10690",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "92885",
            "telephone_number": "562-809-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17772 BEACH BLVD",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92647",
            "telephone_number": "714-842-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALWATTAR",
        "first_name": "MOHAMMAD",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A49352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A493520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Alvarez
• Cheryl Alvarez, PSY. D.
• Johnathon Angel Alvarez
• Jorge Alvarez
• Edward Alvo, LMFT
• Alyssa Chiropractic Inc
• Alzheimer's Family Services Center
• Alzheimer's Family Services Center
• Amal Tanagho Psychiatric Services, Inc.
• Jorge Amaro

• Emergency Medicine Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.