Individual provider Active NPI

Mohamed Hussein

  • Pharmacist
  • Anaheim, CA
National Provider Identifier
1003524182
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
84437 Issued in CA
Practice address
1807 W Katella Ave Ste 206
Anaheim, CA 92804-6691
Phone
(714) 733-7978
Fax
(714) 733-7969
NPI assigned
Nov 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 84437 CA Primary

Addresses

Primary practice location

1807 W Katella Ave Ste 206
Anaheim, CA 92804-6691

Mailing address

1807 W Katella Ave Ste 206
Anaheim, CA 92804-6691
Phone (714) 733-7978

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

Practice roles

OrganizationSpecialtyStatusNew patients
Blast Pharma Inc CurrentSince Nov 13, 2022 Accepting new patients

Locations

1807 W Katella Ave
Ste 206
Anaheim, CA 92804
Phone (424) 386-5957

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1003524182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W KATELLA AVE STE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046691",
            "telephone_number": "714-733-7978",
            "fax_number": "714-733-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W KATELLA AVE STE 206",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046691",
            "telephone_number": "714-733-7978",
            "fax_number": "714-733-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSEIN",
        "first_name": "MOHAMED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "84437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.