Organization Active NPI

Mumtaz Akram MD Inc

  • Gastroenterology Physician
  • West Covina, CA
National Provider Identifier
1164580692
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
A34950 Issued in CA
Legal business name
MUMTAZ AKRAM MD INC
Practice address
906 S Sunset Ave
#104
West Covina, CA 91790
Phone
(626) 960-9455
Fax
(626) 960-0833
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mumtaz Akram, MDNPI 1144325242
Title
Doctor
Phone
(626) 960-9455

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X A34950 CA Primary

Addresses

Primary practice location

906 S Sunset Ave
#104
West Covina, CA 91790

Mailing address

906 S Sunset Ave
#104
West Covina, CA 91790
Phone (626) 960-9455

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080610000471 CA Part B Supplier - Clinic/Group Practice 4385714849 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Locations

906 S Sunset Ave
Ste 104
West Covina, CA 91790
Phone (626) 960-9455

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164580692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE",
            "address_2": "#104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-9455",
            "fax_number": "626-960-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 S SUNSET AVE",
            "address_2": "#104",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "91790",
            "telephone_number": "626-960-9455",
            "fax_number": "626-960-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUMTAZ AKRAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKRAM",
        "authorized_official_first_name": "MUMTAZ",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "626-960-9455",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A34950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.