Active NPI
Walid S Arnaout MD a Medical Corporation
- Surgery Physician
- Northridge, CA
National Provider Identifier
1063577138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- WALID S ARNAOUT MD A MEDICAL CORPORATION
- Practice address
- 18250 Roscoe Blvd Ste 220
Northridge, CA 91325-4271 - Phone
- (818) 280-3901
- Fax
- (805) 379-9695
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Walid Arnaout, MD
- Title
- President
- Phone
- (805) 379-9696
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Surgery Physician | 208600000X | Primary | ||
| Trauma Surgery Physician | 2086S0127X |
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
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A53180 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
18433 Roscoe Blvd
Ste 102
Northridge, CA 91325
Phone (818) 709-6700
18350 Roscoe Blvd
Ste 405
Northridge, CA 91325
Phone (818) 559-7500
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Thousand Oaks, CA
- NPI 1568767960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696896000000",
"number": "1063577138",
"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": {
"organization_name": "WALID S ARNAOUT MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2023-10-10",
"certification_date": "2023-10-10",
"status": "A",
"authorized_official_last_name": "ARNAOUT",
"authorized_official_first_name": "WALID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-379-9696",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Trauma Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A53180",
"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 Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.