Individual provider Active NPI

Mohammad Ahraz Hussain, MD

  • Nephrology Physician
  • Redondo Beach, CA
National Provider Identifier
1801245063
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A163153 Issued in CA
Practice address
2218 Mathews Ave Unit 6
Redondo Beach, CA 90278-3153
Phone
(832) 469-2099
NPI assigned
Jun 8, 2016
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A163153 CA
Nephrology Physician 207RN0300X A163153 CA Primary
Nephrology Physician 207RN0300X CDR.0005817 CO

Addresses

Primary practice location

2218 Mathews Ave Unit 6
Redondo Beach, CA 90278-3153

Mailing address

2218 Mathews Ave Unit 6
Redondo Beach, CA 90278-3153
Phone (832) 469-2099

Other practice location 1

6550 Fannin St
Houston, TX 77030-2717
Phone (713) 441-5114

Other practice location 2

3660 Park Sierra Dr Ste 208
Riverside, CA 92505-3071
Phone (951) 687-2800

Other practice location 3

1010 Three Springs Blvd Ste 255
Durango, CO 81301-8296
Phone (970) 764-3825

Other practice location 4

1100 N Palm Canyon Dr Ste 211
Palm Springs, CA 92262-4426
Phone (760) 323-1155

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX, CO, AZ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200108001965 CA Practitioner - Internal Medicine 9335574953 Reassigns benefits to 6 organizations
I20231025003160 TX Practitioner - Nephrology 9335574953 Reassigns benefits to 2 organizations
I20250917002949 CO Practitioner - Nephrology 9335574953 Reassigns benefits to 1 organization
I20251229001147 AZ Practitioner - Nephrology 9335574953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Rodolfo R. Batarse, MD, Medical CorporationGroup PAC ID 3173775657, 8 clinicians

Practice addresses (Care Compare)

1010 Three Springs Blvd
Suite 255
Durango, CO 81301-8296
Phone (970) 764-3825

11234 Anderson St
Loma Linda, CA 92354-2804

11370 Anderson St
Loma Linda, CA 92354-3450

71511 Hwy 111
Suite H
Rancho Mirage, CA 92270-4465
Phone (760) 773-2200

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A163153CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Associates Corporation CurrentSince Nov 14, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 28, 2024 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Rodolfo R. Batarse, MD, Medical Corporation Nephrology CurrentSince Apr 23, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Dec 28, 2024 Accepting new patients
Confermed of California PC Internal Medicine CurrentSince May 10, 2024 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Sowmya Puthalapattu PA Nephrology CurrentSince Dec 1, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 16, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Dec 16, 2025 Accepting new patients
Dallas Renal Group PA Nephrology CurrentSince Dec 9, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine Current Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Dec 1, 2025 Accepting new patients
Alameda Health System CurrentSince May 31, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 24, 2019 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Guardian Med Supplies Current Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 1, 2025 Accepting new patients
Southwest Kidney Institute, PLC Nephrology CurrentSince Dec 1, 2025 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Nov 24, 2019 Accepting new patients
Innovative Medical Solutions Inc a Medical Group Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Confermed PC Internal Medicine Past Accepting new patients

Locations (25 of 34)

2610 N 3rd St
Phoenix, AZ 85004
Phone (602) 264-3541

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

2149 E Warner Rd
Ste 101
Tempe, AZ 85284
Phone (480) 610-6111

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

18182 Outer Highway 18
Ste 104
Apple Valley, CA 92307
Phone (760) 475-6965

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

8920 Wilshire Blvd
Ste 310
Beverly Hills, CA 90211
Phone (310) 256-2426

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

11234 Anderson St
#A600
Loma Linda, CA 92350
Phone (909) 558-2824

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890

25455 Barton Rd
Ste 108A
Loma Linda, CA 92354
Phone (909) 558-1617

6041 Cadillac Ave
Los Angeles, CA 90034
Phone (323) 857-2000

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

28078 Baxter Rd
Murrieta, CA 92563
Phone (760) 533-4541

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

14860 Roscoe Blvd
Ste 200
Panorama City, CA 91402
Phone (818) 830-7751

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

797 S Fair Oaks Ave
Pasadena, CA 91105
Phone (626) 535-2434

71511 Highway 111
Ste H
Rancho Mirage, CA 92270
Phone (760) 321-8113

901 San Bernardino Rd
Ste 104
Upland, CA 91786
Phone (909) 542-2779

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD
  • Direct secure messaging: mhussain1302515@direct.sw.org
  • Direct secure messaging: mohammad.ahraz.hussain.1@19859.direct.athenahealth.com
  • Direct secure messaging: mohammad.ahraz.hussain.1@2697.direct.athenahealth.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1801245063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 MATHEWS AVE UNIT 6",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783153",
            "telephone_number": "832-469-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 MATHEWS AVE UNIT 6",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902783153",
            "telephone_number": "832-469-2099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Fannin St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770302717",
            "country_code": "US",
            "telephone_number": "713-441-5114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3660 Park Sierra Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053071",
            "country_code": "US",
            "telephone_number": "951-687-2800",
            "fax_number": "951-687-7290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 Three Springs Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813018296",
            "country_code": "US",
            "telephone_number": "970-764-3825",
            "fax_number": "970-764-3839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N Palm Canyon Dr Ste 211",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624426",
            "country_code": "US",
            "telephone_number": "760-323-1155",
            "fax_number": "760-325-8629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAIN",
        "first_name": "MOHAMMAD AHRAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A163153",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A163153",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CO",
            "license": "CDR.0005817",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "6041 Cadillac Ave",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900341702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.