Abdelsalam Mogasbe, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A97753 Issued in CA

Practice address

4030 Moorpark Ave
San Jose, CA 95117

Phone

(408) 596-6278

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Abdelsalam Mohamed Former name

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

Specialty

Internal Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifecare Solutions Palliative and Hospice Hospice, Dublin, CA, CCN 751785
• Sunrise Hospice Care Inc. Hospice, San Jose, CA, CCN B31705
• Compassionate Home Health & Hospice, Inc. Hospice, Walnut Creek, CA, CCN B31746
• R and A Hospice, Inc. Hospice, San Mateo, CA, CCN B21709
• UCSF Health St. Mary'S Hospital Hospital, San Francisco, CA, CCN 050457
• Kentfield Hospital Long-term care hospital, Kentfield, CA, CCN 052043
• Santa Clara Post Acute Nursing home, Santa Clara, CA, CCN 056069

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Wondrous Love Hospice Care LLC

  • Community Based Hospice Care Agency
  • Anaheim, CA
  • NPI 1598312928

  Corporate Director

  CMS ownership

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.

• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923
  Medicare reassignment Care Compare group NPD
• Quantum Bay Area Hospitalist Medical Group Inc

  • Hospitalist Physician
  • Mountain View, CA
  • NPI 1902279656
  Medicare reassignment NPD
• R and a Hospice, Inc.

  • Community Based Hospice Care Agency
  • San Mateo, CA
  • NPI 1154939791
  NPD
• Good Samaritan Hospital, L.P.

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1376595777
  NPD (past)

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

• 991 Clyde Avenue Opco, LLC

  • Skilled Nursing Facility
  • Santa Clara, CA
  • NPI 1063157626

  Nursing home

  Care Compare affiliation
• Compassionate Home Health & Hospice Inc

  • Community Based Hospice Care Agency
  • Pleasanton, CA
  • NPI 1922532126
  Care Compare affiliation
• Kentfield and San Francisco Specialty Hospital Inc

  • Long Term Care Hospital
  • San Francisco, CA
  • NPI 1619758539

  Long-term care hospital

  Care Compare affiliation
• Kentfield and San Francisco Specialty Hospital Inc

  • Long Term Care Hospital
  • Kentfield, CA
  • NPI 1841071776

  Long-term care hospital

  Care Compare affiliation
• Lifecare Solutions Palliative and Hospice LLC

  • Community Based Hospice Care Agency
  • Dublin, CA
  • NPI 1841679610
  Care Compare affiliation
• Sunrise Hospice Care Inc.

  • Community Based Hospice Care Agency
  • San Jose, CA
  • NPI 1366094997
  Care Compare affiliation
• UCSF Health Community Hospitals

  • General Acute Care Hospital
  • San Francisco, CA
  • NPI 1174667158
  Care Compare affiliation

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1891868550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE",
            "address_2": "SUITE 251",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951172218",
            "telephone_number": "408-596-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOORPARK AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95117",
            "telephone_number": "408-596-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGASBE",
        "first_name": "ABDELSALAM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A97753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDELSALAM",
            "last_name": "MOHAMED",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Moffatt
• Mari Moffitt, RD
• Rosemary Ann Moffitt, MFT
• Alireza Mofrad
• Abid Christopher Mogannam, M.D., M.B.A.
• Barkoat Moges
• Eyerusalem Moges, PAC
• Saron Moges
• Charles E Moggia, DDS
• Mojgan Moghaddam, L.AC., PH.D.

• General Practice Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• 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.

Verify at the official NPI Registry.