Mederva Medical Corporation
NPI 1417778713 · Family Medicine Physician · Oakland, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mederva Medical Corporation is a Family Medicine Physician organization in Oakland, CA (NPI 1417778713).
Provider details
- NPI number
- 1417778713
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammed Kaleel, Owner(954) 654-2857
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-18
- Last updated
- 2025-05-08
- Certified
- 2025-05-08
Frequently asked questions
- What is Mederva Medical Corporation's NPI number?
- Mederva Medical Corporation's National Provider Identifier (NPI) is 1417778713, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mederva Medical Corporation?
- Mederva Medical Corporation is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mederva Medical Corporation located?
- Mederva Medical Corporation's practice location on file with NPPES is 4212 Balfour Ave, Oakland, CA 94610-1750.
- What is Mederva Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Mederva Medical Corporation is (954) 654-2857.
- Does Mederva Medical Corporation accept Medicare?
- Mederva Medical Corporation is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mederva Medical Corporation?
- The authorized official listed on Mederva Medical Corporation's NPPES record is Mohammed Kaleel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mederva Medical Corporation's NPI active?
- Yes — Mederva Medical Corporation's NPI (1417778713) is active in the NPPES registry as of the last update on 2025-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.