NPIMap

Individual provider Active NPI

Nahid Hamoui, MD

  • Surgery Physician
  • Irvine, CA
National Provider Identifier
1225067465
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A74889 Issued in CA
Practice address
16300 Sand Canyon Ave
Suite 604
Irvine, CA 92618-3711
Phone
(949) 336-8761
Fax
(949) 336-8762
NPI assigned
Jul 1, 2006
Last updated
May 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A74889 CA Primary

Addresses

Primary practice location

16300 Sand Canyon Ave
Suite 604
Irvine, CA 92618-3711

Mailing address

16300 Sand Canyon Ave
Suite 604
Irvine, CA 92618-3711
Phone (949) 336-8761

Other identifiers 2

IdentifierTypeStateIssuer
00A748890MedicaidCA
00A748890OtherCABLUE SHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050829000477 CA Practitioner - General Surgery 0840221925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Southern California Keck School of Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16300 Sand Canyon Ave
Suite 604
Irvine, CA 92618-3706
Phone (949) 336-8791

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74889CAMDAmbulatory Care Pharmacist
A74889CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nahid Hamoui, MD, Inc Surgery CurrentSince Dec 13, 2011 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Usc Surgeons, Inc. Surgery Past Accepting new patients

Locations

16300 Sand Canyon Ave
Ste 604
Irvine, CA 92618
Phone (949) 336-8761

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1225067465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 604",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-336-8761",
            "fax_number": "949-336-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 SAND CANYON AVE",
            "address_2": "SUITE 604",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183711",
            "telephone_number": "949-336-8761",
            "fax_number": "949-336-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMOUI",
        "first_name": "NAHID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A74889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A748890",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00A748890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.