Individual provider Active NPI

Youssef Boulos Hadweh, M.D.

  • Family Medicine Physician
  • Chowchilla, CA
National Provider Identifier
1285749937
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G74536 Issued in CA
Practice address
129 N 5TH St
Chowchilla, CA 93610-2820
Phone
(559) 665-0275
Fax
(559) 665-7126
NPI assigned
Aug 21, 2006
Last updated
Aug 8, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G74536 CA Primary

Addresses

Primary practice location

129 N 5TH St
Chowchilla, CA 93610-2820

Mailing address

129 N 5TH St
Chowchilla, CA 93610-2820
Phone (559) 665-0275

Other identifiers 5

IdentifierTypeStateIssuer
770431470OtherCATAX ID
05D0921369OtherCACLIA CERTIFICATION
HAP53925FMedicaidCA
00G745360OtherCAALL PRIVATE INSURANCES
00G745360MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071203000444 CA Practitioner - Family PracticePractitioner - Emergency Medicine 6507955267 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
99.1 of 100Reported as group
Quality
93.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G74536CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Single Specialty Current Accepting new patients
Sound Physicians Emergency Medicine of Southern California, P.C. Single Specialty CurrentSince May 1, 2025 Accepting new patients
Cep America-California CurrentSince Dec 1, 2018 Accepting new patients
San Joaquin Emergency Medical Associates Single Specialty CurrentSince Jul 7, 2014 Accepting new patients
Cep America - California CurrentSince Dec 1, 2018 Accepting new patients
Youssef Hadweh, M.D. PastSince Jul 7, 1992 Accepting new patients
Amritpal Pannu, MD Past Accepting new patients
Family Health Medical Center Inc. PastSince Apr 30, 2003 Accepting new patients
Merced Radiology Medical Group Single Specialty Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344384000000",
    "number": "1285749937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N 5TH ST",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102820",
            "telephone_number": "559-665-0275",
            "fax_number": "559-665-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N 5TH ST",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102820",
            "telephone_number": "559-665-0275",
            "fax_number": "559-665-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADWEH",
        "first_name": "YOUSSEF",
        "middle_name": "BOULOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2012-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G74536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "770431470",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATION",
            "identifier": "05D0921369",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP53925F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL PRIVATE INSURANCES",
            "identifier": "00G745360",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G745360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chowchilla, CA

Sources for this page

Verify at the official NPI Registry.