Individual provider Active NPI

Mohammad K Arab, MD

  • Otolaryngology Physician
  • Imperial, CA
National Provider Identifier
1306847827
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A39192 Issued in CA
Practice address
2410 Commerce TRL
Imperial, CA 92251-4003
Phone
(760) 355-8500
Fax
(760) 355-8558
NPI assigned
Aug 9, 2005
Last updated
Mar 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A39192 CA Primary

Addresses

Primary practice location

2410 Commerce TRL
Imperial, CA 92251-4003

Mailing address

2410 Commerce TRL
Imperial, CA 92251-4003
Phone (760) 355-8500

Other identifiers 2

IdentifierTypeStateIssuer
00A391920OtherCAMEDI CAL
00A391920OtherCABLUE SHIELD

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
I20040401001085 CA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 7517959208 Practice locations: Imperial, CA; San Diego, CA

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1306847827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 COMMERCE TRL",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922514003",
            "telephone_number": "760-355-8500",
            "fax_number": "760-355-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 COMMERCE TRL",
            "city": "IMPERIAL",
            "state": "CA",
            "postal_code": "922514003",
            "telephone_number": "760-355-8500",
            "fax_number": "760-355-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAB",
        "first_name": "MOHAMMAD",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A39192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "00A391920",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A391920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial, CA

Sources for this page

Verify at the official NPI Registry.