Mr Ajmal Mohammad, NP - Medicare Nurse Practitioner in Lawndale, CA

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Mr Ajmal Mohammad, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Lawndale, California. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Addis Medical Group A Medical Corporation, Vip Nephrology Inc, Vortex Mental Health, William Gillespie And Associates Inc, Moiez Khankhanian, M.d. Inc and his current practice location is 4023 Marine Ave, Lawndale, California. You can reach out to his office (for appointments etc.) via phone at (310) 508-8693.

Mr Ajmal Mohammad is licensed to practice in California (license number 19040) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700017712.

Contact Information

Mr Ajmal Mohammad, NP
4023 Marine Ave,
Lawndale, CA 90260
(310) 508-8693
(310) 508-8693

Map and Direction




Provider's Profile

Full NameMr Ajmal Mohammad
GenderMale
SpecialityNurse Practitioner
Experience16 Years
Location4023 Marine Ave, Lawndale, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Ajmal Mohammad graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1700017712
  • Provider Enumeration Date: 08/07/2009
  • Last Update Date: 01/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2365570504
  • Enrollment ID: I20100510000669

Medical Identifiers

Medical identifiers for Mr Ajmal Mohammad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700017712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse NP19040 (California)Secondary
363L00000XNurse Practitioner 19040 (California)Secondary
363LP2300XNurse Practitioner - Primary Care NP 19040 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 19040 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
L A Downtown Medical Center, LlcLos angeles, CAHospital
Southern California Hospital At HollywoodHollywood, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Addis Medical Group A Medical Corporation094146333516
Vip Nephrology Inc11534294027
Vortex Mental Health17597166739
William Gillespie And Associates Inc751718137316
Moiez Khankhanian, M.d. Inc80222059964

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Ajmal Mohammad allows following entities to bill medicare on his behalf.
Entity NameLarissa L. Kalife
Entity TypePractitioner - Internal Medicine
Entity IdentifiersNPI Number: 1659466316
PECOS PAC ID: 4284898107
Enrollment ID: I20120605000600
Entity NameInnovative Medical Solutions Inc A Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972624955
PECOS PAC ID: 5294783080
Enrollment ID: O20050107000871
Entity NameVip Nephrology Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770652554
PECOS PAC ID: 1153429402
Enrollment ID: O20070609000159
Entity NameRaj Prasad Md, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962563080
PECOS PAC ID: 7810067378
Enrollment ID: O20080610000496
Entity NameMoiez Khankhanian, M.d. Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407157373
PECOS PAC ID: 8022205996
Enrollment ID: O20101206000423
Entity NameSyed Hossain, M.d., Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710274881
PECOS PAC ID: 6608049465
Enrollment ID: O20111024000593
Entity NamePantea Farhadi Md A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689943946
PECOS PAC ID: 6305011545
Enrollment ID: O20111216000075
Entity NameAddis Medical Group A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013289339
PECOS PAC ID: 0941463335
Enrollment ID: O20120522001225
Entity NameWilliam Gillespie And Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558771246
PECOS PAC ID: 7517181373
Enrollment ID: O20140617002071
Entity NameEhab Yacoub Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417373713
PECOS PAC ID: 5092099523
Enrollment ID: O20170301002071
Entity NameAdvanced Hematology Oncology Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083142376
PECOS PAC ID: 3779840459
Enrollment ID: O20171205002504
Entity NameVortex Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841834694
PECOS PAC ID: 1759716673
Enrollment ID: O20200122002089
Entity NameSal Psychiatry Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962028936
PECOS PAC ID: 9335565506
Enrollment ID: O20200818003587
Entity NameBeverly Hills Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518570290
PECOS PAC ID: 5092121251
Enrollment ID: O20210312001101
Entity NameGuadalupe Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053902734
PECOS PAC ID: 1456751775
Enrollment ID: O20210608002458

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. Mr Ajmal Mohammad is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Ajmal Mohammad, NP
3430 W 171st St,
Torrance, CA 90504-2406

Ph: (310) 508-8693		Mr Ajmal Mohammad, NP
4023 Marine Ave,
Lawndale, CA 90260

Ph: (310) 508-8693

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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