Individual provider Active NPI

Naji Muwanas, D.O.

  • Family Medicine Physician
  • Payson, AZ
National Provider Identifier
1437617099
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
010788 Issued in AZ
Practice address
815 W Overland Rd
Payson, AZ 85541-4261
Phone
(562) 489-6686
NPI assigned
Mar 3, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 19984 CA
Family Medicine Physician 207Q00000X 010788 AZ Primary

Addresses

Primary practice location

815 W Overland Rd
Payson, AZ 85541-4261

Mailing address

5407 Lemoran Ave
Pico Rivera, CA 90660-2909
Phone (562) 489-6686

Other practice location 1

5407 Lemoran Ave
Pico Rivera, CA 90660-2909
Phone (562) 489-6686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221102002666 CA Practitioner - Family Practice 0749657864 Reassigns benefits to 1 organization
I20240619002622 AZ Practitioner - Family Practice 0749657864 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
010788AZMDFamily Medicine Physician
19984CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince May 8, 2024 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jun 12, 2024 Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1437617099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 LEMORAN AVE",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906602909",
            "telephone_number": "562-489-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W OVERLAND RD",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855414261",
            "telephone_number": "562-489-6686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5407 Lemoran Ave",
            "address_purpose": "LOCATION",
            "city": "Pico Rivera",
            "state": "CA",
            "postal_code": "906602909",
            "country_code": "US",
            "telephone_number": "562-489-6686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUWANAS",
        "first_name": "NAJI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-03",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "19984",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "010788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

Verify at the official NPI Registry.