Organization Active NPI

Moamen Elhaddad, D.P.M., Inc. a Podiatric Medical Corporation

  • Foot & Ankle Surgery Podiatrist
  • Orange, CA
National Provider Identifier
1396640298
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
MOAMEN ELHADDAD, D.P.M., INC. A PODIATRIC MEDICAL CORPORATION
Practice address
1010 W la Veta Ave Ste 475
Orange, CA 92868-4300
Phone
(206) 861-3306
NPI assigned
Oct 12, 2026
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Dr. Moamen Elhaddad, DPM, MBBCH
Title
President
Phone
(206) 861-3306

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X NU Primary

Addresses

Primary practice location

1010 W la Veta Ave Ste 475
Orange, CA 92868-4300

Mailing address

324 S Beverly Dr Ste 278
Beverly Hills, CA 90212-4822
Phone (206) 861-3306

NPI Registry JSON

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1396640298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 S BEVERLY DR STE 278",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902124822",
            "telephone_number": "206-861-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W LA VETA AVE STE 475",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684300",
            "telephone_number": "206-861-3306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAMEN ELHADDAD, D.P.M., INC. A PODIATRIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-11",
        "status": "A",
        "authorized_official_last_name": "ELHADDAD",
        "authorized_official_first_name": "MOAMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-861-3306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM, MBBCH"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.