Moustapha Abou-Samra, MD, a Professional Corporation

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A36688 Issued in CA

Legal business name

MOUSTAPHA ABOU-SAMRA, MD, A PROFESSIONAL CORPORATION

Practice address

168 N Brent St
Suite 408
Ventura, CA 93003-2817

Phone

(805) 643-2179

Fax

(805) 643-0672

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Moustapha Abou-Samra, M.D.

Title

President

Phone

(805) 643-2179

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1023123460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-643-2179",
            "fax_number": "805-643-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N BRENT ST",
            "address_2": "SUITE 408",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032817",
            "telephone_number": "805-643-2179",
            "fax_number": "805-643-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUSTAPHA ABOU-SAMRA, MD, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "ABOU-SAMRA",
        "authorized_official_first_name": "MOUSTAPHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-643-2179",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A36688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edna L Moses, LCSW
• Adorina Moshava
• Ameer Moussaed
• Valerie Ann Moussou, RPH.
• Rocio A Moustafa, M.D.
• Genevieve Moya Viamonte, M.D.
• Lisa Moya, CMT
• Marc Moza, DO
• Jamil Suheil Muasher, MD
• Khristina Mueller, M.D.

• Neurological Surgery Physician in Ventura, CA
• Providers in Ventura, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.