Active NPI
Mohammad Kaleem Uddin, MD
- Neurological Surgery Physician
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A83767
- Practice address
- 36243 Inland Valley Dr
Ste 210
Wildomar, CA 92595-9549 - Phone
- (951) 677-2300
- Fax
- (951) 677-1033
- NPI assigned
- May 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A83767 | CA | Primary |
Addresses
Primary practice location
36243 Inland Valley Dr
Ste 210
Wildomar, CA 92595-9549
Mailing address
36243 Inland Valley Dr
Ste 210
Wildomar, CA 92595-9549
Phone (951) 677-2300
Other names 1
- None None None
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040510001704 | CA | Practitioner - Neurology | 2163411521 | Practice locations: Fallbrook, CA; Murrieta, CA; West Covina, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24910 Las Brisas Rd
Suite 108
Murrieta, CA 92562-4010
Phone (951) 677-2300
577 E Elder St
Suite E
Fallbrook, CA 92028-3079
Phone (760) 728-8349
933 S Sunset Ave
Suite 306
West Covina, CA 91790-3410
Phone (626) 337-2265
Hospital & facility affiliations
- Southwest Healthcare Rancho Springs Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redlands Community Hospital | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients | |
| Emanate Health Medical Center | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients | |
| State University of Iowa | Past | Accepting new patients | |
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients | |
| Midwest Associates in Neurology LTD | Neurology | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- West Covina, CA
- NPI 1063441293
-
- General Acute Care Hospital
- Covina, CA
- NPI 1982629440
-
- General Acute Care Hospital
- Redlands, CA
- NPI 1043354111
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
-
- Neurology Physician
- Oak Park, IL
- NPI 1508943754
-
- Psychiatric Hospital Unit
- Iowa City, IA
- NPI 1548248321
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962405142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36243 INLAND VALLEY DR",
"address_2": "STE 210",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925959549",
"telephone_number": "951-677-2300",
"fax_number": "951-677-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36243 INLAND VALLEY DR",
"address_2": "STE 210",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925959549",
"telephone_number": "951-677-2300",
"fax_number": "951-677-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDDIN",
"first_name": "MOHAMMAD",
"middle_name": "KALEEM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A83767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NONE",
"last_name": "NONE",
"middle_name": "NONE",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.