Organization Active NPI

Moufid Nemeh M.D.

  • Specialist
  • Northridge, CA
National Provider Identifier
1003963133
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A43231 Issued in CA
Legal business name
MOUFID NEMEH M.D.
Practice address
18250 Roscoe Blvd
#235
Northridge, CA 91325-4226
Phone
(818) 885-0063
Fax
(818) 885-0193
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Moufid Nemeh, M.D.NPI 1508923160
Title
M.D.
Phone
(818) 885-0063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A43231 CA Primary

Addresses

Primary practice location

18250 Roscoe Blvd
#235
Northridge, CA 91325-4226

Mailing address

18250 Roscoe Blvd
#235
Northridge, CA 91325-4226
Phone (818) 885-0063

Other identifiers 2

IdentifierTypeStateIssuer
00A432311MedicaidCA
A43231OtherCALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080123000655 CA Part B Supplier - Clinic/Group Practice 6507948064 Receives reassigned benefits from 3 practitioners
Practice locations: Northridge, CA

National Provider Directory

National Provider Directory

Locations

18250 Roscoe Blvd
Ste 235
Northridge, CA 91325
Phone (818) 882-2064

18250 Roscoe Blvd
Ste 2
Northridge, CA 91325
Phone (818) 885-0063

18546 Roscoe Blvd
Ste 108
Northridge, CA 91324
Phone (818) 886-3771

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1003963133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "#235",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-0063",
            "fax_number": "818-885-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "#235",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-0063",
            "fax_number": "818-885-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUFID NEMEH M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "NEMEH",
        "authorized_official_first_name": "MOUFID",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "818-885-0063",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A432311",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "A43231",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.