Individual provider Active NPI

Mohammad Albaba, MD

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1861589962
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A82130 Issued in CA
Practice address
350 Hawthorne Ave RM 2308
Oakland, CA 94609-3108
Phone
(510) 869-6883
Fax
(510) 869-6888
NPI assigned
Oct 9, 2006
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8582 ND
Internal Medicine Physician 207R00000X 49910 MN
Internal Medicine Physician 207R00000X A82130 CA Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 49910 MN

Addresses

Primary practice location

350 Hawthorne Ave RM 2308
Oakland, CA 94609-3108

Mailing address

1690 University Ave W Ste 370
Saint Paul, MN 55104-3826
Phone (651) 232-6905

Other practice location 1

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 326-7200

Other practice location 2

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other identifiers 2

IdentifierTypeStateIssuer
714410500MedicaidMN
P00873565OtherMNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070808000763 MN Practitioner - Internal MedicinePractitioner - Geriatric Medicine 0345331153 Reassigns benefits to 1 organization
I20170112001316 CA Practitioner - Internal Medicine 0345331153 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians
Vituity Hospitalists PCGroup PAC ID 2567714090, 78 clinicians

Practice addresses (Care Compare)

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 526-4500

350 30TH St
Suite 100
Oakland, CA 94609-3422
Phone (510) 204-8290

600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 524-1211

900 Hyde St
San Francisco, CA 94109-4806
Phone (415) 353-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A82130CAMDInternal Medicine Physician
8582NDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Feb 1, 2022 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Feb 1, 2021 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 6, 2022 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince Jan 12, 2019 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Dec 6, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Vituity Hospitalists PC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 1, 2022 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Jan 12, 2019 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Oct 1, 2022 Accepting new patients
Vituity Hospitalists PC Internal Medicine Current Accepting new patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Global Physicians Resources Inc CurrentSince Dec 8, 2020 Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations (25 of 40)

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

711 W College St
Ste 188
Los Angeles, CA 90012
Phone (213) 261-0889

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

350 30th St
Ste 100
Oakland, CA 94609
Phone (510) 204-8290

350 Hawthorne Ave
Rm 2308
Oakland, CA 94609
Phone (510) 869-6883

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000

Interoperability endpoints

  • Direct secure messaging: malbaba370906@hisp.ehr.sutterhealth.org

Organizations & group practices 23

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

View all 23

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1861589962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 UNIVERSITY AVE W STE 370",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043826",
            "telephone_number": "651-232-6905",
            "fax_number": "651-326-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE RM 2308",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093108",
            "telephone_number": "510-869-6883",
            "fax_number": "510-869-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1575 Beam Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551091126",
            "country_code": "US",
            "telephone_number": "651-326-7200",
            "fax_number": "651-326-7240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 1st St SW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559050001",
            "country_code": "US",
            "telephone_number": "507-284-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBABA",
        "first_name": "MOHAMMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "8582",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "49910",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A82130",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MN",
            "license": "49910",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "714410500",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00873565",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.