Mohamednoor A Osman, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

A85472 Issued in CA

Practice address

1800 N California St
Stockton, CA 95204-6019

Phone

(916) 714-4245

Fax

(916) 714-4245

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Vepema Medical Group

  • Emergency Medicine Physician
  • Turlock, CA
  • NPI 1356502496
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1972517175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5904 ISAAC WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957575954",
            "telephone_number": "916-714-4245",
            "fax_number": "916-714-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N CALIFORNIA ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046019",
            "telephone_number": "916-714-4245",
            "fax_number": "916-714-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSMAN",
        "first_name": "MOHAMEDNOOR",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A85472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A854720",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay Osborne, D.C.
• Desirae Elena Osejo
• Abha M Oshtory, MD
• Meherji A Oshtory, MD
• Marilyn Garlejo Osias, NP
• Calvin K. Ota, DDS
• Robert Ken Ota
• Steven Mikkio Otani, D.D.S.
• Robert Christopher Pestano Ote, M.D.
• Luis Otero

• Emergency Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.