Walid S. Arnaout, M.D.

Individual provider Active NPI Surgery Physician · Northridge, CA

NPI 1023072816 · NPPES record last updated Oct 10, 2023

Key facts

NPI
1023072816
Entity type
Individual (NPI type 1)
Primary specialty
Surgery Physician 208600000X
License
A53180 (CA)
Practice address
18250 Roscoe Blvd Ste 220
Northridge, CA 91325-4271
Phone
(818) 280-3901
Fax
(805) 379-9695
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
General Surgery
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northridge Trauma Surgeons Inc a Medical Corporation (13 clinicians)
Acute Care Surgery Medical Group Inc (205 clinicians)

Practice addresses (Care Compare)

18300 Roscoe Blvd
Northridge, CA 91325-4105
Phone (818) 998-8591

215 W Janss Rd
Thousand Oaks, CA 91360-1847
Phone (805) 497-2727

77 Rolling Oaks Dr
Suite 203
Thousand Oaks, CA 91361-1019
Phone (805) 379-9696

Hospital & facility affiliations

  • Northridge Hospital Medical Center Hospital · Northridge, CA · CCN 050116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)15
Removal of tissue1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050615001012 CA Practitioner - General Surgery 3678517109 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53180CAMDTrauma Surgery Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Northridge Trauma Surgeons Inc a Medical Corporation Surgery Current
since Mar 1, 2023
Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery Current
since May 1, 2023
Accepting new patients
Providence Health System - Southern California Past Accepting new patients
Dignity Community Care Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients

Locations

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

18300 Roscoe Blvd
Northridge, CA 91325
Phone (818) 885-5331

9227 Reseda Blvd
Northridge, CA 91324
Phone (818) 631-1064

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

2190 Lynn Rd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 242-4884

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X A53180 CA
Surgery Physician 208600000X A53180 CA Yes

Addresses

Primary practice location

18250 Roscoe Blvd Ste 220
Northridge, CA 91325-4271

Mailing address

18250 Roscoe Blvd Ste 220
Northridge, CA 91325-4271
Phone (818) 280-3901

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 10, 2023.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1023072816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 220",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254271",
            "telephone_number": "818-280-3901",
            "fax_number": "805-379-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD STE 220",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254271",
            "telephone_number": "818-280-3901",
            "fax_number": "805-379-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNAOUT",
        "first_name": "WALID",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "A53180",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A53180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

All providers in Northridge, CA · Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.