Active NPI
Mohamed Younes
- Counselor
- Wilmington, CA
National Provider Identifier
1427620848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 25695 Pine Creek LN
Wilmington, CA 90744-1818 - Phone
- (714) 909-9251
- NPI assigned
- Jul 14, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
25695 Pine Creek LN
Wilmington, CA 90744-1818
Mailing address
25695 Pine Creek LN
Wilmington, CA 90744-1818
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Vtcevolution0@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1427620848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25695 PINE CREEK LN",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907441818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25695 PINE CREEK LN",
"city": "WILMINGTON",
"state": "CA",
"postal_code": "907441818",
"telephone_number": "714-909-9251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNES",
"first_name": "MOHAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Vtcevolution0@gmail.com",
"affiliation": "N",
"address_1": "25695 Pine Creek Ln",
"city": "Wilmington",
"state": "CA",
"country_code": "US",
"postal_code": "907441818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Wilmington, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.