Individual provider Active NPI

Houshmand Joseph Naim, M.D.

  • Specialist
  • Wilmington, CA
National Provider Identifier
1063591519
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A81554 Issued in CA
Practice address
301 N Avalon Blvd
Wilmington, CA 90744-5801
Phone
(310) 684-4070
Fax
(310) 684-4077
NPI assigned
Nov 3, 2006
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A81554 CA Primary

Addresses

Primary practice location

301 N Avalon Blvd
Wilmington, CA 90744-5801

Mailing address

301 N Avalon Blvd
Wilmington, CA 90744-5801
Phone (310) 684-4070

Other practice location 1

9808 Venice Blvd Ste 707
Culver City, CA 90232-6802
Phone (310) 684-4070

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
I20040917000667 CA Practitioner - General SurgeryPractitioner - Other (Physician) 2860388246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Icahn School of Medicine at Mount Sinai, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Bariatric Center Medical CorporationGroup PAC ID 9739156811, 2 clinicians

Practice addresses (Care Compare)

301 N Avalon Blvd
Wilmington, CA 90744-5801
Phone (310) 684-4070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81554CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Bariatric Center, Medical Corporation Specialist CurrentSince Jul 12, 2004 Accepting new patients
NJ Bariatrics PC Specialist Past Accepting new patients

Locations

1321 N Vermont Ave
Ste 3
Los Angeles, CA 90027
Phone (310) 270-5695

301 N Avalon Blvd
Wilmington, CA 90744
Phone (310) 684-4070

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1063591519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445801",
            "telephone_number": "310-684-4070",
            "fax_number": "310-684-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N AVALON BLVD",
            "city": "WILMINGTON",
            "state": "CA",
            "postal_code": "907445801",
            "telephone_number": "310-684-4070",
            "fax_number": "310-684-4077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9808 Venice Blvd Ste 707",
            "address_purpose": "LOCATION",
            "city": "Culver City",
            "state": "CA",
            "postal_code": "902326802",
            "country_code": "US",
            "telephone_number": "310-684-4070",
            "fax_number": "310-684-4077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAIM",
        "first_name": "HOUSHMAND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-05-30",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A81554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, CA

Sources for this page

Verify at the official NPI Registry.