DR. ABDELSALAM MOGASBE (NPI# 1891868550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891868550 |
| Entity Type | Individual |
| Full Name | DR. ABDELSALAM MOGASBE |
| Other Name | DR. ABDELSALAM MOHAMED |
| Credential | M.D |
| Practice Address |
4030 Moorpark Ave San Jose CA 95117 |
| Mailing Address |
4030 Moorpark Ave Suite 251 San Jose CA 95117-2218 |
| Practice Telephone | 4085966278 |
| Mailing Telephone | 4085966278 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2016-01-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | A97753 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
4030 MOORPARK AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710919998 | Gentiva Certified Healthcare Corp. | Home Health | 4030 Moorpark Ave, Suite 251, San Jose, CA 95117-1807 | 2006-07-07 |
| 1669977625 | Monica Orea Duarte | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-29 |
| 1699278945 | Samantha Pansoy | Behavioral Analyst | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-13 |
| 1194227108 | Thuy Hoang | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-06 |
| 1447752738 | Sy P Hoang | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-02 |
| 1932601226 | Justine Hernandez | Behavior Technician | 4030 Moorpark Ave, San Jose, CA 95117-4103 | 2018-03-02 |
| 1922530195 | Mischelle Camaclang | Behavioral Analyst | 4030 Moorpark Ave, Suite 105, San Jose, CA 95117-4103 | 2017-03-28 |
| 1710381702 | California Home Doc | Specialist | 4030 Moorpark Ave, Suite 251, San Jose, CA 95117-4103 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154978385 | Rebecca Giordano St George | Marriage & Family Therapist | 390 Spar Avenue Suite 106, San Jose, CA 95117 | 2019-08-22 |
| 1760035067 | Na Bao Inc | Acupuncturist | 631 Rebecca Way, Apt D, San Jose, CA 95117 | 2019-07-17 |
| 1801364823 | Acupuncture & Healing Inc | Acupuncturist | 4155 Moorpark Ave Ste #13, San Jose, CA 95117 | 2018-11-07 |
| 1689199770 | Youngsu Lyu | Chiropractor | 4010 Moorpark Ave Ste 109, San Jose, CA 95117 | 2017-08-09 |
| 1790139137 | January Villarreal | Speech-Language Pathologist | 4010 Moorpark Ave. #117, San Jose, CA 95117 | 2016-04-22 |
| 1780069187 | Il Hwan Park Chiropractic Clinic | Chiropractor | 4155 Moorpark Avenue, Suite 1, San Jose, CA 95117 | 2015-07-27 |
| 1285077073 | John Lockhart Mcelroy | Family Medicine | 3578 Moultrie Ave., San Diego, CA 95117 | 2013-04-10 |
| 1801134036 | Min Jung Kang | Acupuncturist | 4155 Moorpark Ave Ste 20, San Jose, CA 95117 | 2013-01-23 |
| 1356574420 | Scott Svendsen | Chiropractor | 3531 Stevens Creek Blvd., San Jose, CA 95117 | 2009-08-24 |
| 1316191893 | Christopher Corsa | Dentist | 4010 Moorpark Ave Ste 105, San Jose, CA 95117 | 2008-11-10 |
| Find all providers in zip 95117 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225558349 | Forrest Robert Hamlin Sr. | General Practice | 415 E Taylor St, San Jose, CA 95112 | 2017-06-20 |
| 1811334741 | Thanh Nguyet T Mehlert | General Practice | 1097 Foxhurst Way, San Jose, CA 95120-4226 | 2013-06-01 |
| 1881866812 | Harry David Friedman | General Practice | 3097 Moorpark Ave, Suite 102, San Jose, CA 95128-2543 | 2008-03-31 |
| 1346446481 | Dai Tu Pham | General Practice | 10 S 14th St, San Jose, CA 95112-2015 | 2007-06-25 |
| 1952529497 | James Stephen Dyer | General Practice | 6052 Montgomery Bnd, San Jose, CA 95135-1429 | 2007-04-22 |
| 1659408292 | Youssef Shakib Fahimi | General Practice | 1754 Dalton Pl, San Jose, CA 95124-5701 | 2007-02-28 |
| 1134228752 | Albert A Gomez | General Practice | 1644 Alum Rock Ave, San Jose, CA 95116-2429 | 2006-09-21 |
| 1467550608 | Them Huynh | General Practice | 1855 Alum Rock Ave Ste C, San Jose, CA 95116-1398 | 2006-09-20 |
| 1427153808 | Henry R Gan | General Practice | 1685 Westwood Dr, #3, San Jose, CA 95125 | 2006-09-13 |
| 1396848230 | Robert K.c. Lin | General Practice | 888 N Winchester Blvd, San Jose, CA 95128-1353 | 2006-09-06 |
| Find all providers in SAN JOSE | ||||
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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.