Dr John Mogannam, is a
Student In An Organized Health Care Education/training Program physician based in Oakland, California. Dr John Mogannam is licensed to practice in * (Not Available) (license number ) and his current practice location is 1411 E 31st St, Oakland, California. He can be reached at his office (for appointments etc.) via phone at
(510) 437-4800.
NPI number for Dr John Mogannam is 1205561859 and his current mailing address is 378 Embarcadero W Unit 419, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205561859.
Physician's Profile
| Full Name | Dr John Mogannam |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1411 E 31st St, Oakland, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1205561859
- Provider Enumeration Date: 07/19/2022
- Last Update Date: 05/25/2025
Medical Identifiers
Medical identifiers for Dr John Mogannam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205561859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 20A22102 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr John Mogannam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr John Mogannam,
378 Embarcadero W Unit 419,
Oakland, CA 94607-4534
Ph: () - | Dr John Mogannam,
1411 E 31st St,
Oakland, CA 94602-1018
Ph: (510) 437-4800 |
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