MOHAMMED S. QAYYUM M.D. INC (NPI# 1649647736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649647736 |
| Entity Type | Organization |
| Organization Name | MOHAMMED S. QAYYUM M.D. INC |
| Practice Address |
2550 Samaritan Dr D San Jose CA 95124-4104 |
| Practice Telephone | 4086102001 |
| Practice Fax Number | 4086103880 |
| Mailing Telephone | 4086102001 |
| Mailing Fax Number | 4086103880 |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | DR. MOHAMMED S QAYYUM (OWNER) |
| Authorized Official Telephone | 4082980433 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | A56213 | CA | Other Service Providers |
| Street Address |
2550 SAMARITAN DR D |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-4104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629066063 | Ann Mcdonald Rice | Marriage & Family Therapist | 2550 Samaritan Dr, Suite E, San Jose, CA 95124-4104 | 2005-10-10 |
| 1396182333 | Janine Elizabeth Penha | Dietitian, Registered | 2550 Samaritan Dr, Suite A, San Jose, CA 95124-4104 | 2013-05-31 |
| 1780986950 | Urological Surgeons of Northern California | Urology | 2550 Samaritan Dr, Suite D, San Jose, CA 95124-4104 | 2010-11-22 |
| 1033357660 | Pamela A. Milliken | Counselor | 2550 Samaritan Dr, Suite E, San Jose, CA 95124-4104 | 2009-02-04 |
| 1851545024 | Michael F. Killion M. D. A Medical Corporation | Specialist | 2550 Samaritan Dr, Suite B, San Jose, CA 95124-4104 | 2008-11-13 |
| 1487850350 | Samaritan Plastic Surgery Center, Inc | Clinic/Center | 2550 Samaritan Dr, San Jose, CA 95124-4104 | 2007-06-26 |
| 1174731095 | Fahd Rahman Khan | Neurological Surgery | 2550 Samaritan Dr, Ste D, San Jose, CA 95124-4104 | 2007-05-21 |
| 1255544730 | David W. Noller, M.d. A Medical Corporation | Obstetrics & Gynecology | 2550 Samaritan Dr, Suite D, San Jose, CA 95124-4104 | 2007-05-08 |
| 1679666994 | Mohammed Shahzad Qayyum | Internal Medicine | 2550 Samaritan Dr, Suite D, San Jose, CA 95124-4104 | 2006-09-30 |
| 1902839053 | Dagmar Maria Horvath | Preferred Provider Organization | 2550 Samaritan Dr, Suite A, San Jose, CA 95124-4104 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467965293 | Kathleen Dawn Kraskouskas | Specialist | 541 W Julian St, San Jose, CA 95110-2338 | 2017-11-15 |
| 1861927568 | Crossover Health Medical Group | Specialist | 5601 Great Oaks Pkwy, Bldg 050, San Jose, CA 95119-1003 | 2017-05-01 |
| 1629503255 | Professional Medical Claims Services | Specialist | 5646 Bluegrass Ln, San Jose, CA 95118-3513 | 2017-04-20 |
| 1669873204 | Wendy Ann Brotherton | Specialist | 1401 Parkmoor Ave Ste 230, San Jose, CA 95126-3407 | 2014-09-15 |
| 1225467756 | Ir Solutions Inc | Specialist | 105 N Bascom Ave Ste 104, San Jose, CA 95128-1811 | 2013-11-05 |
| 1558793653 | Angela Dawn Ballou | Specialist | 1052 Delna Manor Ln, San Jose, CA 95128-3457 | 2013-07-31 |
| 1295089670 | Huong Yen Duong | Specialist | 184 Checkers Dr, San Jose, CA 95116-1359 | 2012-11-06 |
| 1407116213 | Cherie Jones | Specialist | 2555 Corde Terra Cir, #331, San Jose, CA 95111-1955 | 2012-05-25 |
| 1215294129 | Nguyen Tan | Specialist | 110 Jackson St, San Jose, CA 95112-5105 | 2012-04-16 |
| 1447522602 | Daniela Bayer | Specialist | 560 S Winchester Blvd, Suite 500, San Jose, CA 95128-2560 | 2012-02-03 |
| 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.