Active NPI
Autumn Medical Group
- Family Medicine Physician
- Whittier, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A84718
- Legal business name
- AUTUMN MEDICAL GROUP
- Practice address
- 9200 Colima Rd
Suite 207
Whittier, CA 90605-1814 - Phone
- (562) 945-0252
- Fax
- (562) 945-0901
- NPI assigned
- Jan 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nasir A Mohammedi, M.D.,M.S.,M.S.,
- Title
- Ceo
- Phone
- (562) 945-0252
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A84718 | CA | Primary |
Addresses
Primary practice location
9200 Colima Rd
Suite 207
Whittier, CA 90605-1814
Mailing address
9200 Colima Rd
Suite 207
Whittier, CA 90605-1814
Phone (562) 945-0252
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1084831 | Autumn Medical Group | Certificate of waiver | May 14, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
9200 Colima Rd
Ste 207
Whittier, CA 90605
Phone (562) 945-0252
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Whittier, CA
- NPI 1154429769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355961600000",
"number": "1881746022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 COLIMA RD",
"address_2": "SUITE 207",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051814",
"telephone_number": "562-945-0252",
"fax_number": "562-945-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 COLIMA RD",
"address_2": "SUITE 207",
"city": "WHITTIER",
"state": "CA",
"postal_code": "906051814",
"telephone_number": "562-945-0252",
"fax_number": "562-945-0901"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AUTUMN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2012-12-20",
"status": "A",
"authorized_official_last_name": "MOHAMMEDI",
"authorized_official_first_name": "NASIR",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-945-0252",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D.,M.S.,M.S.,"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A84718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whittier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.