Active NPI
Syed Khalid Mustafa, M.D.
- Internal Medicine Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A53718
- Practice address
- 1299 Newell Hill PL Ste 100
Walnut Creek, CA 94596-5230 - Phone
- (925) 938-8082
- NPI assigned
- Aug 19, 2008
- Last updated
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A53718 | CA | Primary |
Addresses
Primary practice location
1299 Newell Hill PL Ste 100
Walnut Creek, CA 94596-5230
Mailing address
1299 Newell Hill PL Ste 100
Walnut Creek, CA 94596-5230
Phone (925) 938-8082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53718 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Riverside-San Bernardino County Indian Health, Inc | Current | Accepting new patients | |
| LP Urgent Medical Inc | Internal Medicine | Current | Accepting new patients |
| Riverside-San Bernardino County Indian Health, Inc. | Current | Accepting new patients | |
| Rolling Hills Clinic | Current | Accepting new patients | |
| Department of Social | Past | Accepting new patients |
Locations
705 East St
Corning, CA 96021
Phone (530) 690-2818
740 Solano St
Corning, CA 96021
Phone (530) 690-2827
11980 Mount Vernon Ave
Grand Terrace, CA 92313
Phone (909) 783-8470
Organizations & group practices 6
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.
-
dba San Manuel Indian Health
- Federally Qualified Health Center (FQHC)
- Grand Terrace, CA
- NPI 1174676670
TX
-
- Internal Medicine Physician
- Mission Hills, CA
- NPI 1508614553
-
dba Santa Rosa Indian Health Clinic
- Federally Qualified Health Center (FQHC)
- Mountain Center, CA
- NPI 1366028086
-
dba Soboba Indian Health
- Federally Qualified Health Center (FQHC)
- San Jacinto, CA
- NPI 1639222144
-
- Federally Qualified Health Center (FQHC)
- Red Bluff, CA
- NPI 1679988950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1972750123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 NEWELL HILL PL STE 100",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965230",
"telephone_number": "925-938-8082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1299 NEWELL HILL PL STE 100",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945965230",
"telephone_number": "925-938-8082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAFA",
"first_name": "SYED",
"middle_name": "KHALID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A53718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.