Active NPI
Emile G. Shenouda MD Inc.
- Pediatrics Physician
- Mission Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- EMILE G. SHENOUDA MD INC.
- Practice address
- 15340 Devonshire St
Suite 8
Mission Hills, CA 91345-2759 - Phone
- (818) 894-9411
- Fax
- (818) 894-7611
- NPI assigned
- Jan 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emile George Shenouda, MD
- Title
- President
- Phone
- (818) 894-9411
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
15340 Devonshire St
Suite 8
Mission Hills, CA 91345-2759
Mailing address
10132 California Ave
South Gate, CA 90280-6008
Phone (818) 894-9411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A562731 | Medicaid | CA |
Other names 1
- Mission Hills Family Medical Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0973573 | Mission Hills Family Medical Clinic, Inc | Certificate of waiver | Jan 2, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Centro Medico Guadalupano Para la Familia
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- South Gate, CA
- NPI 1538344437
-
- General Practice Physician
- South Gate, CA
- NPI 1780139691
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HGCJBA
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- South Gate, CA
- NPI 1760596845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204761600000",
"number": "1437334331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10132 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806008",
"telephone_number": "818-894-9411",
"fax_number": "818-894-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15340 DEVONSHIRE ST",
"address_2": "SUITE 8",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913452759",
"telephone_number": "818-894-9411",
"fax_number": "818-894-7611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMILE G. SHENOUDA MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-09",
"last_updated": "2008-03-06",
"status": "A",
"authorized_official_last_name": "SHENOUDA",
"authorized_official_first_name": "EMILE",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-894-9411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A562731",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mission Hills Family Medical Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.