Mountain Health Associates, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A25994 Issued in CA

Legal business name

MOUNTAIN HEALTH ASSOCIATES, INC.

Practice address

395 Del Norte Ave
Yuba City, CA 95991-4121

Phone

(530) 755-0856

Fax

(530) 755-0858

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Octavio D Camasura, M.D.

Title

Medical Director

Phone

(530) 755-0856

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811970106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914121",
            "telephone_number": "530-755-0856",
            "fax_number": "530-755-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 DEL NORTE AVE",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914121",
            "telephone_number": "530-755-0856",
            "fax_number": "530-755-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN HEALTH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMASURA",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "530-755-0856",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A25994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A301740",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0049640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robin Susanne Mote
• Lou Moua
• Paul Pao Moua
• Sor Jacob Moua
• Irma Moulton, RN
• Mountain Health Pain Management, Inc.
• Sally Miller Mowers, PHARM.D.
• Gernot Mueller, M.D.
• Muhammad Alghannam MD Inc
• Alpna Mullick, M.D.

• Primary Care Clinic/Center in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.