Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John Mogannam

Individual provider Hospice and Palliative Medicine (Internal Medicine) Physician · NPI 1205561859

Dr. John Mogannam is an Internal Medicine in Sacramento, California. Qualified in 2022, 4 years ago. Practices with Alameda Health System, a 601-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

4900 Broadway Ste 2700
Sacramento, CA 95820-1536
Phone: (916) 734-9913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1411 E 31st St, Oakland, CA 94602-1018 — (510) 437-4800

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 20A22102 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 20A22102 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1205561859
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 19, 2022
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Alameda Health System — 601 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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