Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184605115 Individual Practitioner Male Practitioner

Dr. Syed G Mohiuddin , MD

Pediatrics • El Segundo, CA

Professional Overview & Biography Verified Profile Summary

Dr. Syed Mohiuddin, MD is a registered healthcare professional specializing in Pediatrics in El Segundo, CA. Practice services are available at 483 N AVIATION BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

483 N Aviation Blvd

El Segundo, CA 902452808

Telephone 3106532873

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in El Segundo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
5 Specialists

Practicing in El Segundo, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License CA C177107

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4083182 (MI)
Commercial Insurance / Payer ID Health Advantage Network
203824 (MI)
Commercial Insurance / Payer ID Community Blue
350D410030 (MI)
Commercial Insurance / Payer ID Blue Care Network
350D410030 (MI)
Commercial Insurance / Payer ID Blue Cross Pos
350D410030 (MI)
Commercial Insurance / Payer ID Health Alliance Plan
B44573 (MA)
Commercial Insurance / Payer ID Mclaren Health Plan
203824 (MI)
Commercial Insurance / Payer ID Metrahealth
370013059 (MI)
Commercial Insurance / Payer ID Aetna
4340778 (MI)
Commercial Insurance / Payer ID Mcare
C6435 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1093944571

Doctor of Medicine (M.D.)

Adam Hendriksen , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1114372786
Cheyenne Patel , PA-C

Physician Assistant

NPI 1124402359

Physician Assistant (Certified)

NPI 1194475160

Doctor of Osteopathic Medicine (D.O.)

Dr. Benjamin Stork , DO, MPH

Preventive Medicine - Occupational Medicine

NPI 1295176626

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Duke Romeo Salvador , PA

Physician Assistant

NPI 1376299222

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 05, 2024

Registered at 483 N AVIATION BLVD, EL SEGUNDO, CA 902452808 (Tel: 3106532873)

📍
Updated Business Mailing Address June 05, 2024

Registered at 483 N AVIATION BLVD, EL SEGUNDO, CA 902452808 (Tel: 3106532873)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2024

Pediatrics (License #C177107 in CA)

NPI Profile Active September 02, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2010

Registered at 42141 MOUND RD, STERLING HEIGHTS, MI 483143144 (Tel: 5862547593)

📍
Updated Business Mailing Address September 02, 2010

Registered at 42141 MOUND RD, STERLING HEIGHTS, MI 483143144 (Tel: 5862547593)

👤
Provider Name / Credentials Updated September 02, 2010

Recorded as SYED MOHIUDDIN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2010

Pediatrics (License #4301048359 in MI)

🟢
Initial NPI Registration & Enumeration November 08, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1184605115
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2005
Last Update: June 05, 2024
Sole Proprietor: Yes

Mailing Address

483 N Aviation Blvd

El Segundo, CA 902452808

Phone: 3106532873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.