Jahangir Mahmoudi,M.D.Inc

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

A29722 Issued in CA

Legal business name

JAHANGIR MAHMOUDI,M.D.INC

Practice address

1290 Lincoln Rd Ste 2
Yuba City, CA 95991-6735

Phone

(530) 674-7655

Fax

(530) 674-7567

NPI assigned

Oct 13, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jahangir Mahmoudi, M.D.NPI 1669478491

Title

President

Phone

(530) 674-7655

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jahangir Mahmoudi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Yuba City, CA
  • NPI 1669478491
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1801106752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 LINCOLN RD STE 2",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916735",
            "telephone_number": "530-674-7655",
            "fax_number": "530-674-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 LINCOLN RD STE 2",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959916735",
            "telephone_number": "530-674-7655",
            "fax_number": "530-674-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAHANGIR MAHMOUDI,M.D.INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-13",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "MAHMOUDI",
        "authorized_official_first_name": "JAHANGIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-674-7655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A29722",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A29722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A297220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Endocrinology, Diabetes & Metabolism Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.