Active NPI
Josephine Moukhtar, M.D
- Pediatrics Physician
- Glendale, CA
National Provider Identifier
1144634510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A42174
- Practice address
- 1816 Orchard Ave Apt 1
Glendale, CA 91206-4179 - Phone
- (818) 543-1663
- NPI assigned
- Jun 13, 2014
- Last updated
- Jun 13, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A42174 | CA | Primary |
Addresses
Primary practice location
1816 Orchard Ave Apt 1
Glendale, CA 91206-4179
Mailing address
1816 Orchard Ave Apt 1
Glendale, CA 91206-4179
Phone (818) 543-1663
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A42174 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1144634510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1816 ORCHARD AVE APT 1",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064179",
"telephone_number": "818-543-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1816 ORCHARD AVE APT 1",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064179",
"telephone_number": "818-543-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOUKHTAR",
"first_name": "JOSEPHINE",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A42174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
- Arshia Motamedrasa
- Motion Home Health Care
- Motion Picture and Television Fund Medical Group, Inc
- Motion Picture and Television Fund Medical Group, Inc
- Samira Moughrabi, NP
- Alexander Moukhtarian
- Mount Zion Hospice Care, Inc.
- Mountain Ridge Home Care, Inc.
- Mountain Ridge Hospice Inc.
- Moustafa Hussein Moustafa, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.