Active NPI
Hadeal Moustafa
- Speech-Language Pathologist
- Simi Valley, CA
National Provider Identifier
1083073258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3266
- Practice address
- 5775 E Los Angeles Ave
230
Simi Valley, CA 93063-5213 - Phone
- (818) 497-3012
- NPI assigned
- Feb 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3266 | CA | Primary |
Addresses
Primary practice location
5775 E Los Angeles Ave
230
Simi Valley, CA 93063-5213
Mailing address
17216 Saticoy St
141
Van Nuys, CA 91406-2103
Phone (818) 497-3012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3266 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1083073258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17216 SATICOY ST",
"address_2": "141",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914062103",
"telephone_number": "818-497-3012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5775 E LOS ANGELES AVE",
"address_2": "230",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930635213",
"telephone_number": "818-497-3012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUSTAFA",
"first_name": "HADEAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "3266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.