Individual provider Active NPI

Mohammad R Mohebbi, M.D.

  • Emergency Medicine Physician
  • Napa, CA
National Provider Identifier
1871767004
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A122778 Issued in CA
Practice address
1000 Trancas St
Napa, CA 94558-2906
Phone
(707) 252-4411
NPI assigned
Apr 18, 2008
Last updated
Dec 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A122778 CA Primary
Family Medicine Physician 207Q00000X 40406 IA

Addresses

Primary practice location

1000 Trancas St
Napa, CA 94558-2906

Mailing address

1584 Yellowstone St
Napa, CA 94558-2341
Phone (209) 202-8996

Other practice location 1

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

Other practice location 2

825 Delbon Ave
Emanuel Medical Center
Turlock, CA 95382-2016
Phone (209) 667-4200

Other identifiers 1

IdentifierTypeStateIssuer
A122778OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000159 CA Practitioner - Emergency Medicine 5193912400 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Nut Tree Rd
Vacaville, CA 95687-4100
Phone (707) 624-7000

1020 Nut Tree Rd
Vacaville, CA 95687-4100

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552
Phone (707) 429-3600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Napa Valley Emergency Medical Group Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Northbay Healthcare Group CurrentSince Oct 17, 2022 Accepting new patients
Northbay Healthcare Group CurrentSince Oct 17, 2022 Accepting new patients
San Francisco Physicians International Medical Group, Inc Emergency Medicine CurrentSince Aug 1, 2017 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince May 15, 2018 Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1208476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1871767004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 YELLOWSTONE ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582341",
            "telephone_number": "209-202-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TRANCAS ST",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582906",
            "telephone_number": "707-252-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N California St",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046019",
            "country_code": "US",
            "telephone_number": "209-943-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 Delbon Ave",
            "address_2": "Emanuel Medical Center",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822016",
            "country_code": "US",
            "telephone_number": "209-667-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHEBBI",
        "first_name": "MOHAMMAD",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-18",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A122778",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "40406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A122778",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.