Active NPI
Moustafa Moataz Aboshady, M.D.
- Hospitalist Physician
- Los Alamitos, CA
National Provider Identifier
1003127655
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 19, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A128437
- Practice address
- 3751 Katella Ave
Los Alamitos, CA 90720-3113 - Phone
- (928) 854-9603
- NPI assigned
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | LP02034 | RI | |
| Internal Medicine Physician | 207R00000X | A128437 | CA | |
| Hospitalist Physician | 208M00000X | A128437 | CA | Primary |
Addresses
Primary practice location
3751 Katella Ave
Los Alamitos, CA 90720-3113
Mailing address
5150 E Pacific Coast Hwy
Suite 500
Long Beach, CA 90804
Other practice location 1
5580 Nottingham Ct
Apt 104
Dearborn, MI 48126-4281
Phone (508) 494-6333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A128437 | CA | MD | Internal Medicine Physician |
| LP02034 | RI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ocean State Lab LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Lincoln, RI
- NPI 1477899649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1003127655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5150 E PACIFIC COAST HWY",
"address_2": "SUITE 500",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3751 KATELLA AVE",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907203113",
"telephone_number": "928-854-9603"
}
],
"practiceLocations": [
{
"address_1": "5580 Nottingham Ct",
"address_2": "Apt 104",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481264281",
"country_code": "US",
"telephone_number": "508-494-6333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABOSHADY",
"first_name": "MOUSTAFA",
"middle_name": "MOATAZ",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-29",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "LP02034",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A128437",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A128437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.