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HENNA MOHAMMAD
NPI 1104436732
Physician Assistant in Moreno Valley, CA

Active since August 07, 2020
24060 FIR AVE STE A, MORENO VALLEY, CA 92553(951) 247-8005 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2021, Jan 25, 2021, Aug 7, 2020 (3 updates tracked since 2020).

About Henna Mohammad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENNA MOHAMMAD (NPI 1104436732) is an individual physician assistant in Moreno Valley, California, licensed in California (PA58385) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1104436732
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHENNA MOHAMMAD
Location Address24060 FIR AVE STE AMoreno Valley, CA 92553-2895
Mailing Address24060 Fir Ave Ste AMoreno Valley, CA 92553-2895
Phone(951) 247-8005
Sole ProprietorYes
Enumeration DateAugust 7, 2020
Last NPPES UpdateFebruary 17, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1104436732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA58385
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
24060 FIR AVE STE A, Moreno Valley, CA 92553
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIVINE OLUWATOSIN OJELADE NP
Nurse Practitioner (Family)
24060 FIR AVE STE A
MORENO VALLEY, CA 92553
Riverside County (951) 247-8005
MS. SHANNA SHANEEN JACKSON NP
Nurse Practitioner (Family)
24060 FIR AVE STE A
MORENO VALLEY, CA 92553
Riverside County (951) 247-8005
HEACOCK HEALTH MEDICAL GROUP, INC.
Clinic/Center (Urgent Care)
24060 FIR AVE STE A
MORENO VALLEY, CA 92553
Riverside County (951) 247-8005

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Henna Mohammad's NPI number?

The NPI number for Henna Mohammad is 1104436732. It was assigned to this individual provider in the NPPES registry on August 7, 2020.

Where is Henna Mohammad located?

Henna Mohammad practices at 24060 Fir Ave Ste A, Moreno Valley, CA 92553. The listed phone number is (951) 247-8005.

What is Henna Mohammad's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Henna Mohammad was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.