JOHN O MOHAMMADIOUN
NPI 1710274774
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since June 28, 2011Opted out of Medicare · through Apr 29, 2028
3075 ADELINE ST, 102, BERKELEY, CA 94703(510) 848-1112 Get Directions Write a Review

NPPES record last updated: September 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John O Mohammadioun NPPES

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

JOHN O MOHAMMADIOUN (NPI 1710274774) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since June 2011. He has opted out of Medicare through April 29, 2028.

NPPES Registry Identity

NPI1710274774
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOHN O MOHAMMADIOUN
Location Address3075 ADELINE ST, 102Berkeley, CA 94703-2576
Mailing Address3075 Adeline St, 102Berkeley, CA 94703-2576 · (510) 848-1112
Sole ProprietorNo
Enumeration DateJune 28, 2011
Last NPPES UpdateSeptember 28, 2016
NPI 1710274774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3075 ADELINE ST, Berkeley, CA 94703

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

John O Mohammadioun has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 29, 2024 through April 29, 2028.

Opt-Out Effective DateApril 29, 2024
Opt-Out In Effect ThroughApril 29, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Counselor
3075 ADELINE ST, SUITE 120
BERKELEY, CA 94703
Counselor (Mental Health)
3075 ADELINE ST, SUITE 120
BERKELEY, CA 94703
Psychologist (Clinical)
3075 ADELINE ST, SUITE 120
BERKELEY, CA 94703
Psychologist (Family)
3075 ADELINE ST, SUITE 120
BERKELEY, CA 94703
Psychologist (Clinical)
3075 ADELINE ST, SUITE 120
BERKELEY, CA 94703
Internal Medicine
3075 ADELINE ST, SUITE 280
BERKELEY, CA 94703
Counselor (Mental Health)
3075 ADELINE ST, SUITE 120
BERKELEY, CA 94703
Counselor (Mental Health)
3075 ADELINE ST, SUITE 120
BERKELEY, CA 94703

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 John Mohammadioun's NPI number?

The NPI number for John Mohammadioun is 1710274774. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is John Mohammadioun located?

John Mohammadioun practices at 3075 Adeline St 102, Berkeley, CA 94703. The listed phone number is (510) 848-1112.

What is John Mohammadioun's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is John Mohammadioun enrolled in Medicare?

No. John Mohammadioun has opted out of Medicare through April 29, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Mohammadioun was last updated on September 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.