Mr Michael Reza Motamedi, RN is a
Counselor - Mental Health based in Fremont, California. Mr Michael Reza Motamedi is licensed to practice in California (license number ) and his current practice location is
40965 Grimmer Blvd, Fremont, California. He can be reached at his office (for appointments etc.) via phone at
(510) 657-7425.
NPI number for Mr Michael Reza Motamedi is 1164579314 and his current mailing address is 44 Kingwood Rd, Oakland, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164579314.
Provider's Profile
| Full Name | Mr Michael Reza Motamedi |
|---|
| Gender | Male |
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| Speciality | Counselor - Mental Health |
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| Location | 40965 Grimmer Blvd, Fremont, 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: 1164579314
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 02/01/2012
Medical Identifiers
Medical identifiers for Mr Michael Reza Motamedi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164579314 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 130743-030 (Wisconsin) | Secondary |
| 101YM0800X | Counselor - Mental Health | (California) | 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. Mr Michael Reza Motamedi 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 |
|---|
Mr Michael Reza Motamedi, RN
44 Kingwood Rd,
Oakland, CA 94619-2346
Ph: (510) 336-0958 | Mr Michael Reza Motamedi, RN
40965 Grimmer Blvd,
Fremont, CA 94538-2846
Ph: (510) 657-7425 |
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