Organization Active NPI

Clinica Familiar de Arlington PC

  • Primary Care Clinic/Center
  • Arlington, VA
National Provider Identifier
1104008820
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0101232384 Issued in VA
Legal business name
CLINICA FAMILIAR DE ARLINGTON PC
Practice address
1635 N George Mason Dr
Suite 455
Arlington, VA 22205-3601
Phone
(703) 465-0137
Fax
(703) 465-0429
NPI assigned
Dec 4, 2007
Last updated
Apr 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

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

Authorized official

Name
Dr. John Hossein Molaiy, M.D.NPI 1710957899
Title
Owner/President
Phone
(703) 465-0137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 0101232384 VA Primary

Addresses

Primary practice location

1635 N George Mason Dr
Suite 455
Arlington, VA 22205-3601

Mailing address

1635 N George Mason Dr
Suite 455
Arlington, VA 22205-3601
Phone (703) 465-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050503000846 DC Part B Supplier - Clinic/Group Practice 9638119225 Receives reassigned benefits from 3 practitioners
Practice locations: Arlington, VA

National Provider Directory

National Provider Directory

Locations

1635 N George Mason Dr
Ste 455
Arlington, VA 22205
Phone (703) 465-0137

6521 Arlington Blvd
Ste 112
Falls Church, VA 22042
Phone (703) 237-9025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IECAAA

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1104008820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "SUITE 455",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-465-0137",
            "fax_number": "703-465-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "SUITE 455",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-465-0137",
            "fax_number": "703-465-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA FAMILIAR DE ARLINGTON PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "MOLAIY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HOSSEIN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-465-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "VA",
            "license": "0101232384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.