Healthcare Provider Details

I. General information

NPI: 1518769710
Provider Name (Legal Business Name): MOHAMMED AL-TEMIMI MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 SAMARITAN CT STE H
SAN JOSE CA
95124-4002
US

IV. Provider business mailing address

408 OFFENBACH PL
SUNNYVALE CA
94087-2718
US

V. Phone/Fax

Practice location:
  • Phone: 909-918-8160
  • Fax:
Mailing address:
  • Phone: 909-918-8160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMED AL-TEMIMI
Title or Position: OWNER
Credential: MD
Phone: 408-752-4088