Individual provider Active NPI

Walid S. Arnaout, M.D.

  • Surgery Physician
  • Northridge, CA
National Provider Identifier
1023072816
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A53180 Issued in 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
Last updated
Oct 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2023

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

Specialties & licenses 2

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 CorporationGroup PAC ID 2567828825, 13 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

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A53180CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northridge Trauma Surgeons Inc a Medical Corporation Surgery CurrentSince Mar 1, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince May 1, 2023 Accepting new patients
Dignity Community Care Past Accepting new patients
Providence Health System - Southern California 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 (310) 853-3629

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.