Active NPI
Youssef Boulos Hadweh, M.D.
- Family Medicine Physician
- Chowchilla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G74536
- 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, 2012
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 770431470 | Other | CA | TAX ID |
| 05D0921369 | Other | CA | CLIA CERTIFICATION |
| HAP53925F | Medicaid | CA | |
| 00G745360 | Other | CA | ALL PRIVATE INSURANCES |
| 00G745360 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.1 of 100
- Quality
- 93.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G74536 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Single Specialty | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Southern California, P.C. | Single Specialty | Current | Accepting new patients |
| Cep America-California | Current | Accepting new patients | |
| San Joaquin Emergency Medical Associates | Single Specialty | Current | Accepting new patients |
| Cep America - California | Current | Accepting new patients | |
| Youssef Hadweh, M.D. | Past | Accepting new patients | |
| Amritpal Pannu, MD | Past | Accepting new patients | |
| Family Health Medical Center Inc. | Past | 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.
-
dba Vituity
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
Single Specialty
-
- Emergency Medicine Physician
- Merced, CA
- NPI 1588960413
Single Specialty
-
- Emergency Medicine Physician
- Oakdale, CA
- NPI 1194180968
Single Specialty
-
- Primary Care Clinic/Center
- Chowchilla, CA
- NPI 1518158336
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
dba Chowchilla Family Clinic
- Rural Health Clinic/Center
- Chowchilla, CA
- NPI 1598183238
-
dba Access Family Medical Center
- Rural Health Clinic/Center
- Los Banos, CA
- NPI 1780120220
-
- Diagnostic Radiology Physician
- Merced, CA
- NPI 1992796643
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.