Organization Active NPI

Moukarzel Medical Corp

Doing business as Femina Careo

  • Preferred Provider Organization
  • El Centro, CA
National Provider Identifier
1326255084
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
C50303 Issued in CA
Legal business name
MOUKARZEL MEDICAL CORP
Doing business as
Femina Careo
Practice address
2109 Ross Ave
El Centro, CA 92243-3685
Phone
(760) 352-4103
Fax
(760) 352-6221
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Elias N Moukarzel, M.D.
Title
President
Phone
(760) 352-4103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X C50303 CA Primary

Addresses

Primary practice location

2109 Ross Ave
El Centro, CA 92243-3685

Mailing address

2109 Ross Ave
El Centro, CA 92243-3685
Phone (760) 352-4103

Other identifiers 1

IdentifierTypeStateIssuer
00C503030MedicaidCA

Other names 1

  • Femina Careo Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0998177Moukarzel Medical Corp2109 W Ross Ave, El Centro, CA 92243Certificate of waiverFeb 5, 2028

National Provider Directory

National Provider Directory

Locations

2109 Ross Ave
El Centro, CA 92243
Phone (760) 352-4103

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326255084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433685",
            "telephone_number": "760-352-4103",
            "fax_number": "760-352-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 ROSS AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922433685",
            "telephone_number": "760-352-4103",
            "fax_number": "760-352-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUKARZEL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOUKARZEL",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-352-4103",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "C50303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C503030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Femina Careo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.