MEDICARE: MUABHEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1447105796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUABHEALTHCARE

Provider Business Mailing Address
First Line	:	1261 TRAVIS BLVD STE 375
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-4811
Country	:	US
Telephone Number	:	408-771-3972
Fax Number	:

Provider Business Practice Location Address
First Line	:	1261 TRAVIS BLVD STE 375
Second Line	:
City	:	FAIRFIELD
State	:	CA
Zip	:	94533-4811
Country	:	US
Telephone Number	:	408-771-3972
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HAMDAT A OWOHA
Credential	:	PMHNP
Telephone Number	:	408-771-3972

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “MUABHEALTHCARE ” Practice Location

Language	Start Address	Practice Location

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