Organization Active NPI

Mohammad Hossain MD Inc.

  • Family Medicine Physician
  • Redlands, CA
National Provider Identifier
1811252844
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A341010 Issued in CA
Legal business name
MOHAMMAD HOSSAIN MD INC.
Doing business as
American Primary Care Medical Clinic
Practice address
627 Brookside Ave
Redlands, CA 92373-4666
Phone
(909) 793-4443
Fax
(909) 793-8783
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Mohammad Hossain, MD
Title
Owner
Phone
(909) 793-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A341010 CA Primary

Addresses

Primary practice location

627 Brookside Ave
Redlands, CA 92373-4666

Mailing address

627 Brookside Ave
Redlands, CA 92373-4666
Phone (909) 793-4443

Other identifiers 1

IdentifierTypeStateIssuer
00A341010MedicaidCA

Other names 1

  • American Primary Care Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

627 Brookside Ave
Redlands, CA 92373
Phone (909) 435-5559

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1811252844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 BROOKSIDE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734666",
            "telephone_number": "909-793-4443",
            "fax_number": "909-793-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 BROOKSIDE AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734666",
            "telephone_number": "909-793-4443",
            "fax_number": "909-793-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD HOSSAIN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "HOSSAIN",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-793-4443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A341010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A341010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Primary Care Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.