Organization Active NPI

Walid S Arnaout MD a Medical Corporation

  • Surgery Physician
  • Northridge, CA
National Provider Identifier
1063577138
Registry record updated Oct 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Oct 10, 2023

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A53180MedicaidCA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.