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

Mohammad Mousa, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073199089

Mohammad Mousa, MD is an Emergency Medicine in Modesto, California. Graduated from University of Arizona College of Medicine - Phoenix in 2021, 5 years ago. Practices with Emergency Physicians of Orange County, a 62-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
University of Arizona College of Medicine - Phoenix
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1777 W Yosemite Ave, Manteca, CA 95337-5130 — (209) 825-3555

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A183506 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073199089
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2021
Last updated in NPPESJuly 20, 2024
Certification dateJuly 20, 2024
Mailing address4601 Dale Rd, Modesto, CA 95356-9718

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE - PHOENIX
Graduated 2021 (5 years in practice)
Group practice Emergency Physicians Of Orange County — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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