Neema Mohammad Aghamohammadi, D.O.
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Carmichael, CA
NPI 1831144732 · NPPES record last updated May 14, 2008
Key facts
- NPI
- 1831144732
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- 20A7859 (CA)
- Practice address
- 3637 Mission Ave
Suite 7
Carmichael, CA 95608-2946 - Phone
- (916) 679-3524
- Fax
- (916) 679-3563
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Pulmonary Disease
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Newport Critical Care Physicians Medical Group Inc
Practice addresses (Care Compare)
1 Hoag Dr
Newport Beach, CA 92663-4162
Phone (949) 764-4624
Hospital & facility affiliations
- Hoag Memorial Hospital Presbyterian
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070213000625 | CA | Practitioner - Pulmonary Disease |
2567464076 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A7859 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 207A 7859 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulmonary Medicine Associates Medical Group, Inc | Critical Care Medicine | Past | Accepting new patients |
| Usc Internal Medicine, Inc. | Pulmonary Disease | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 207A 7859 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 20A7859 | CA | Yes |
Addresses
Primary practice location
3637 Mission Ave
Suite 7
Carmichael, CA 95608-2946
Mailing address
77 Cadillac Dr
Suite 210
Sacramento, CA 95825-5453
Phone (916) 325-1040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A 7859 | Other | CA | OSTEOPATHIC MEDICAL BOARD |
| 00AX78590 | Medicaid | CA |
NPI Registry JSON
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1831144732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 CADILLAC DR",
"address_2": "SUITE 210",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958255453",
"telephone_number": "916-325-1040",
"fax_number": "916-669-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3637 MISSION AVE",
"address_2": "SUITE 7",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956082946",
"telephone_number": "916-679-3524",
"fax_number": "916-679-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGHAMOHAMMADI",
"first_name": "NEEMA",
"middle_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "207A 7859",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "20A7859",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OSTEOPATHIC MEDICAL BOARD",
"identifier": "20A 7859",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX78590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
- Sundeep Adusumalli
- Advanced Neuro Spinal Care Medical Clinic
- Advantage Supplemental Staffing LLC
- Ae Physician Assistant Inc.
- Reshma Afsar
- Rochelle Aguila
- Francis Dave Aguilar
- Ameera Javaid Ahmed
- Mina Salam Ahmed
- Glenn Bryant Akerland
All providers in Carmichael, CA · Critical Care Medicine (Internal Medicine) Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.