Organization Active NPI

Shahida Mohammad, MD Inc

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1811727795
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SHAHIDA MOHAMMAD, MD INC
Practice address
2728 Aborn Rd
San Jose, CA 95121-1204
Phone
(408) 270-2100
Fax
(877) 991-7426
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Dr. Sophia Mohammad, MDNPI 1295049864
Title
Physician
Phone
(408) 905-9872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2728 Aborn Rd
San Jose, CA 95121-1204

Mailing address

2728 Aborn Rd
San Jose, CA 95121-1204
Phone (408) 270-2100

Other names 1

  • EVERGREEN FAMILY PRACTICE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0946330Shahida Mohammad MD Inc2728 Aborn Rd, San Jose, CA 95121Certificate of waiverSep 24, 2026

National Provider Directory

National Provider Directory

Locations

2728 Aborn Rd
San Jose, CA 95121
Phone (408) 270-2100

Practitioners & affiliated clinicians

Practitioners 2

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": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1811727795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-270-2100",
            "fax_number": "877-991-7426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2728 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-270-2100",
            "fax_number": "877-991-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIDA MOHAMMAD, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "408-905-9872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERGREEN FAMILY PRACTICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.