NPIMap

Organization Active NPI

Mahfouz M. Michael,M.D.,Inc.

Doing business as Clinica Medica San Miguel

  • Obstetrics & Gynecology Physician
  • Huntington Park, CA
National Provider Identifier
1134348261
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MAHFOUZ M. MICHAEL,M.D.,INC.
Doing business as
Clinica Medica San Miguel
Practice address
7128 Pacific Blvd
Suite a
Huntington Park, CA 90255-4776
Phone
(323) 586-0144
Fax
(323) 586-0629
NPI assigned
Apr 25, 2007
Last updated
Nov 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Mahfouz M. Michael, M.D.NPI 1447369103
Title
Medical Director
Phone
(818) 994-0804

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary
Pediatrics Physician 208000000X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

7128 Pacific Blvd
Suite a
Huntington Park, CA 90255-4776

Mailing address

PO Box 291040
Los Angeles, CA 90029-9040
Phone (818) 994-0804

Other identifiers 1

IdentifierTypeStateIssuer
GR0016850MedicaidCA

Other names 1

  • Clinica Medica San Miguel Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clinica Medica San Miguel6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7128 Pacific Blvd
Ste A
Huntington Pk, CA 90255
Phone (323) 583-9700

Practitioners & affiliated clinicians

Practitioners 7

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": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1134348261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291040",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900299040",
            "telephone_number": "818-994-0804",
            "fax_number": "818-994-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7128 PACIFIC BLVD",
            "address_2": "SUITE A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554776",
            "telephone_number": "323-586-0144",
            "fax_number": "323-586-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHFOUZ M. MICHAEL,M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAHFOUZ",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-994-0804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0016850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clinica Medica San Miguel",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.