MOHAMMED MIRADI MD INC (NPI# 1033326889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033326889 |
| Entity Type | Organization |
| Organization Name | MOHAMMED MIRADI MD INC |
| Practice Address |
5565 Grossmont Center Dr Ste 211 La Mesa CA 91942-3020 |
| Mailing Address |
Po Box 2353 La Mesa CA 91943-2353 |
| Practice Telephone | 6196441483 |
| Mailing Telephone | 6196441483 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DR. MOHAMMED MIRADI (PRESIDENT) |
| Authorized Official Telephone | 6196441483 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
A53125 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA # | BM3903742 | 01 |
| Street Address |
5565 GROSSMONT CENTER DR STE 211 |
| City | LA MESA |
| State | CA |
| Zip Code | 91942-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871593756 | Robert W Foster | Internal Medicine | 5565 Grossmont Center Dr, Suite 1-105, La Mesa, CA 91942-3020 | 2005-07-21 |
| 1780227694 | Nassir A Azimi, Md, A Professional Corporation | Internal Medicine | 5565 Grossmont Center Dr, Bldg 3, Suite 444, La Mesa, CA 91942-3020 | 2019-10-23 |
| 1831546043 | Shawncey Mcpherson | Physician Assistant | 5565 Grossmont Center Dr, Bldg. 3, Suite 540, La Mesa, CA 91942-3020 | 2016-05-17 |
| 1669858361 | Jennifer Mcdonald | Nurse Practitioner | 5565 Grossmont Center Dr, Building 3, Ste 525, La Mesa, CA 91942-3020 | 2015-08-04 |
| 1184009458 | Biosolutions Clinical Research Center | Clinic/Center | 5565 Grossmont Center Dr, Building 3, Suite 256, La Mesa, CA 91941 | 2015-07-28 |
| 1104238682 | Shota Gurtch, M.d., Inc., A Professional Corporation | Family Medicine | 5565 Grossmont Center Dr, Bld 1 Ste 210, La Mesa, CA 91942-3020 | 2014-06-02 |
| 1790102127 | Randall W. Stettler, Dds, Inc | Dentist | 5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020 | 2014-03-24 |
| 1760723654 | Tms Therapeutics | Clinic/Center | 5565 Grossmont Center Dr, Suite 357, La Mesa, CA 91942-3020 | 2013-03-03 |
| 1043559859 | Dr. Karen E. Anderson, Apc | Podiatrist | 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942-3020 | 2013-02-14 |
| 1013269182 | Ronald M Johnson Md Medical Corp | Surgery | 5565 Grossmont Center Dr, La Mesa, CA 91942-3020 | 2012-10-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453723 | Nicole V Zappelli | Case Manager/Care Coordinator | 4990 William Ave., La Mesa, CA 91942 | 2019-08-26 |
| 1770059834 | Natalie Ngoc Nguyen | Physician Assistant | 5555 Grosmont Center Dr., La Mesa, CA 91942 | 2018-10-16 |
| 1194204297 | Courtney Pietsch | Nurse Practitioner | 8851 Health Center Circle, Suite #603, La Mesa, CA 91942 | 2018-08-09 |
| 1295214773 | Megan Gordon | Behavior Technician | 6116 Horton Dr, La Mesa, CA 91942 | 2018-08-07 |
| 1356836548 | Kimberly Denise Davis | Counselor | 3845 Avocado School Road, El Cajon, CA 91942 | 2018-06-29 |
| 1366932113 | Melanie Joyce Shepard | Physician Assistant | 7051 Alvarado Road, Suite 201, La Mesa, CA 91942 | 2018-05-17 |
| 1871013532 | Low Dental, A.p.c. | Public Health or Welfare | 7872 La Mesa Blvd., La Mesa, CA 91942 | 2017-06-23 |
| 1275069437 | Ardel Ayala | Respiratory Therapist, Registered | 5800 Lake Murray Blvd. Unit 15, La Mesa, CA 91942 | 2017-05-10 |
| 1285007583 | Counseling & Behavioral Specialists | Marriage & Family Therapist | 5520 Wellesley Street, Ste 204, La Mesa, CA 91942 | 2015-11-09 |
| 1285001875 | Emily Shozaki Rizo | Nurse Practitioner | 6285 Meadowcrest Drive, La Mesa, CA 91942 | 2015-08-31 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689692956 | Fadi Haddad | Internal Medicine | 8860 Center Dr, Suite 320, La Mesa, CA 91942-3068 | 2006-07-17 |
| 1225077654 | Mohammed Miradi | Internal Medicine | 5565 Grossmont Center Dr, Ste 211, La Mesa, CA 91942-3020 | 2006-06-04 |
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| 1205305026 | Wilbert C Jordan Md Inc | Internal Medicine | 16660 Paramount Blvd Ste 303, Paramount, CA 90723-5459 | 2018-11-21 |
| 1295182335 | East Bay Area Quality Health Corporation | Internal Medicine | 400 29th Ave, Suite 501, Oakland, CA 94601-2106 | 2016-05-18 |
| 1174985451 | Nicholas Robert Degner | Internal Medicine | 705 San Carlo Ave, Colton, CA 92324-6864 | 2016-03-24 |
| 1184084865 | Mohammad Yousef Alkhatib Md Inc | Internal Medicine | 79405 Highway 111 Ste 9-334, La Quinta, CA 92253-8300 | 2016-02-24 |
| 1710345095 | Pacific Beach Medical Group, Inc. | Internal Medicine | 16111 Beach Blvd., Huntington Beach, CA 92647 | 2016-02-02 |
| 1407239700 | Alan Koff | Internal Medicine | 4860 Y St Ste 0101, Sacramento, CA 95817-2307 | 2015-07-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.