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
Hospital & facility affiliations 1
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
Acute Care Surgery Medical Group Inc
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 15 |
| Removal of tissue | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050615001012 | CA | Practitioner - General Surgery | 3678517109 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A53180 | CA | MD | Trauma Surgery Physician |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northridge Trauma Surgeons Inc a Medical Corporation | Surgery | Current |
Accepting new patients |
| Acute Care Surgery Medical Group, Inc. | Surgery | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
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- Arsineh Armen Khachikian
- Ada Armenta
- Megan B Armstrong
- Vanessa Stephanie Arnez
- Diana Arouchanova
- Desiree M Arriola
- Genevieve Delos Santos Arriola
- Arrow Smile Dental a Practice of Victor M Rosales DDS Inc
All providers in Northridge, CA · Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.