Active NPI
William H Mouradian, M.D.
- Orthopaedic Surgery of the Spine Physician
- Van Nuys, CA
National Provider Identifier
1215029327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- G33342
- Practice address
- 6815 Noble Ave
Van Nuys, CA 91405-3796 - Phone
- (818) 901-6600
- Fax
- (818) 997-7826
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G33342 | CA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G33342 | CA | Primary |
Addresses
Primary practice location
6815 Noble Ave
Van Nuys, CA 91405-3796
Mailing address
6815 Noble Ave
Van Nuys, CA 91405-3796
Phone (818) 901-6600
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33342 | CA | MD | Prosthodontist |
| G33342 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250812800000",
"number": "1215029327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6815 NOBLE AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053796",
"telephone_number": "818-901-6600",
"fax_number": "818-997-7826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 NOBLE AVE",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914053796",
"telephone_number": "818-901-6600",
"fax_number": "818-997-7826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOURADIAN",
"first_name": "WILLIAM",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2009-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G33342",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G33342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.