Organization Active NPI

J. Moucharrafie, MD, Inc.

Doing business as Anaheim Pediatrics

  • Pediatrics Physician
  • Anaheim, CA
National Provider Identifier
1417718081
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
J. MOUCHARRAFIE, MD, INC.
Doing business as
Anaheim Pediatrics
Practice address
1781 W Romneya Dr Ste E
Anaheim, CA 92801-1818
Phone
(714) 774-0414
Fax
(714) 774-0494
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Jamila Moucharrafie, MDNPI 1578919783
Title
President
Phone
(714) 774-0414

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

1781 W Romneya Dr Ste E
Anaheim, CA 92801-1818

Mailing address

1781 W Romneya Dr Ste E
Anaheim, CA 92801-1818

Other names 1

  • Anaheim Pediatrics 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
05D1012354Anaheim Pediatrics1781 West Romneya Avenue Suite E, Anaheim, CA 92801Certificate of waiverMay 7, 2027

National Provider Directory

National Provider Directory

Locations

1781 W Romneya Dr
Ste E
Anaheim, CA 92801
Phone (714) 774-0414

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1417718081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR STE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 W ROMNEYA DR STE E",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011818",
            "telephone_number": "714-774-0414",
            "fax_number": "714-774-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MOUCHARRAFIE, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "MOUCHARRAFIE",
        "authorized_official_first_name": "JAMILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-774-0414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anaheim Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; 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.