| Ahmad Jamal Mohammad, CRNA | |
|
2500 Merced St, San Leandro, CA 94577-4201 | |
| (510) 454-1000 | |
| Not Available |
| Full Name | Ahmad Jamal Mohammad |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2500 Merced St, San Leandro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225701980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 95181547 (California) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 95001694 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Amsurg Oakland Anesthesia Lp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679847727 PECOS PAC ID: 8224292123 Enrollment ID: O20120605000461 |
| Entity Name | Maitran Consulting Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003572769 PECOS PAC ID: 2567858764 Enrollment ID: O20220414001359 |
| Entity Name | Sedaze Anesthesia Consultants A Professional Nursing Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366209629 PECOS PAC ID: 1557708021 Enrollment ID: O20240319003683 |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Jamal Mohammad, CRNA 4415 Mlk Jr Way, Oakland, CA 94609-1837 Ph: () - | Ahmad Jamal Mohammad, CRNA 2500 Merced St, San Leandro, CA 94577-4201 Ph: (510) 454-1000 |
Jennifer Lim, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Joseph J Janakes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Merced St, Department Of Anesthesia, San Leandro, CA 94577 Phone: 510-454-2070 | |
Steven Bazan, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070 | |
Belinda Will, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070 | |
Mrs. Jaclyn G Cho, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 | |
Mrs. Katherine T La, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-2070 | |
Ms. Cindy Lee, C.R.N.A Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2500 Merced St, San Leandro, CA 94577 Phone: 510-454-1000 |