Individual provider Active NPI

Ahmad Shah Mohammad, M.D.

  • Neurology Physician
  • La Mesa, CA
National Provider Identifier
1902973472
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A98831 Issued in CA
Practice address
8851 Center Dr Ste 307
La Mesa, CA 91942-6006
Phone
(619) 337-7900
Fax
(619) 337-7902
NPI assigned
Nov 29, 2006
Last updated
Apr 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A98831 CA Primary

Addresses

Primary practice location

8851 Center Dr Ste 307
La Mesa, CA 91942-6006

Mailing address

8851 Center Dr Ste 307
La Mesa, CA 91942-6006
Phone (619) 337-7900

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
I20080112000202 CA Practitioner - Neurology 3971684200 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8851 Ctr Dr
Suite 307
La Mesa, CA 91942-6006
Phone (616) 337-7900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98831CAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East County Neurology Associates, Inc. Neurology CurrentSince Dec 30, 2008 Accepting new patients
Scripps Health Family Medicine Current Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Sep 13, 2010 Accepting new patients
Scripps Health CurrentSince Apr 22, 2010 Accepting new patients
Scripps Health CurrentSince Apr 22, 2010 Accepting new patients
Scripps Health Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

750 Medical Center Ct
Ste 6
Chula Vista, CA 91911
Phone (619) 658-2401

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

8851 Center Dr
Ste 307
La Mesa, CA 91942
Phone (616) 337-7900

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1902973472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 307",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426006",
            "telephone_number": "619-337-7900",
            "fax_number": "619-337-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 307",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919426006",
            "telephone_number": "619-337-7900",
            "fax_number": "619-337-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "AHMAD SHAH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A98831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.