Radwan P C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RADWAN P C

Practice address

1619 Foxworthy Ave
San Jose, CA 95118-1008

Phone

(917) 376-2132

NPI assigned

Dec 4, 2024

Organization subpart

No

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

Authorized official

Name

Sameh Mahmoud Mohamed, MD

Title

President

Phone

(917) 376-2132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sameh Mohamed

  • Internal Medicine Physician
  • San Jose, CA
  • NPI 1235615006
  Medicare reassignment NPD

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738886400000",
    "number": "1962218024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 FOXWORTHY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 FOXWORTHY AVE",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181008",
            "telephone_number": "917-376-2132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADWAN P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SAMEH MAHMOUD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-376-2132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parisa Radi
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• Radiological Associates Medical Group, Inc
• Ethan Radzinsky
• Tina Raei, M.D.
• Daphne Rael
• Christina Raes
• Jennifer Sue Raether, O.D.

• Internal Medicine Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.