Active NPI
Mones John Mohseni
- Intellectual Disabilities Intermediate Care Facility
- Hayward, CA
National Provider Identifier
1902948235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- MONES JOHN MOHSENI
- Practice address
- 20774 Meekland Avenue
Hayward, CA 94541 - Phone
- (510) 909-4476
- Fax
- (510) 538-7892
- NPI assigned
- Feb 13, 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
- Mones John Mohseni
- Title
- Provider
- Phone
- (510) 909-4476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | CA | Primary |
Addresses
Primary practice location
20774 Meekland Avenue
Hayward, CA 94541
Mailing address
20774 Meekland Avenue
Hayward, CA 94541
Phone (510) 909-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55G190 | Other | CA | MEEKLAND ICF-DDH |
Other names 1
- Meekland ICF DDH
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1902948235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20774 MEEKLAND AVENUE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "94541",
"telephone_number": "510-909-4476",
"fax_number": "510-538-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20774 MEEKLAND AVENUE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "94541",
"telephone_number": "510-909-4476",
"fax_number": "510-538-7892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONES JOHN MOHSENI",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOHSENI",
"authorized_official_first_name": "MONES",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "510-909-4476"
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEEKLAND ICF-DDH",
"identifier": "55G190",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Meekland ICF DDH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.