Active NPI
Mohamad Hassan Kweider
- Oral and Maxillofacial Pathology Dentistry
- West Covina, CA
National Provider Identifier
1235268657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Pathology Dentistry
- License
- 43182
- Practice address
- 2413 S Azusa Ave
West Covina, CA 91792-1536 - Phone
- (626) 913-1421
- Fax
- (626) 913-7812
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 43182 | CA | Primary |
Addresses
Primary practice location
2413 S Azusa Ave
West Covina, CA 91792-1536
Mailing address
2413 S Azusa Ave
West Covina, CA 91792-1536
Phone (626) 913-1421
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rafik Yanni DDS a Professional Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- West Covina, CA
- NPI 1760623912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235268657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2413 S AZUSA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921536",
"telephone_number": "626-913-1421",
"fax_number": "626-913-7812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2413 S AZUSA AVE",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917921536",
"telephone_number": "626-913-1421",
"fax_number": "626-913-7812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWEIDER",
"first_name": "MOHAMAD",
"middle_name": "HASSAN",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0106X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Pathology",
"state": "CA",
"license": "43182",
"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 Jul 8, 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.