NPIMap

Organization Active NPI

El Hadi Mouderres MD Inc

  • Neurology Physician
  • Elk Grove, CA
National Provider Identifier
1407183593
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
EL HADI MOUDERRES MD INC
Practice address
9727 Elk Grove Florin Rd
Suite 120
Elk Grove, CA 95624-2291
Phone
(916) 236-3058
Fax
(916) 236-3061
NPI assigned
Nov 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. El Hadi Mouderres, MDNPI 1730106626
Title
MD/President
Phone
(916) 236-3058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

9727 Elk Grove Florin Rd
Suite 120
Elk Grove, CA 95624-2291

Mailing address

9727 Elk Grove Florin Rd
Suite 120
Elk Grove, CA 95624-2291
Phone (916) 236-3058

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1407183593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "SUITE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242291",
            "telephone_number": "916-236-3058",
            "fax_number": "916-236-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 ELK GROVE FLORIN RD",
            "address_2": "SUITE 120",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242291",
            "telephone_number": "916-236-3058",
            "fax_number": "916-236-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL HADI MOUDERRES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-10",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "MOUDERRES",
        "authorized_official_first_name": "EL HADI",
        "authorized_official_title_or_position": "MD/PRESIDENT",
        "authorized_official_telephone_number": "916-236-3058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.