Mirza Molberg, RN

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

95374721 Issued in CA

Practice address

3215 Skyway CT
Fremont, CA 94539-5951

Phone

(408) 900-8838

NPI assigned

Mar 9, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suncrest Hospice San Jose LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fremont, CA
  • NPI 1043736333
  NPD (past)
• Suncrest Hospice San Jose LLC

  • Community Based Hospice Care Agency
  • Fremont, CA
  • NPI 1124368808
  NPD (past)

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1831045277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 VALENCIA ST",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191324",
            "telephone_number": "646-210-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 SKYWAY CT",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395951",
            "telephone_number": "408-900-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLBERG",
        "first_name": "MIRZA",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "CA",
            "license": "95374721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Mohammed
• Sharmila Mohanan, PT
• Rahman Shah Mohmand, M.D.
• Hannelore Mohr, MD
• Sarita Mokha
• Ricardo A. Molina, MD
• Selene D Molina, CMT
• Shianna Denice Momon
• May Su Mon
• Fariba Monfared

• All providers in Fremont, CA
• Hospice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.