Organization Active NPI

Talal R. Muhtaseb M.D. Inc

  • Obstetrics & Gynecology Physician
  • Oceanside, CA
National Provider Identifier
1477929974
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A40901 Issued in CA
Legal business name
TALAL R. MUHTASEB M.D. INC
Practice address
3998 Vista Way
Suite C
Oceanside, CA 92056
Phone
(760) 687-9791
Fax
(760) 730-5740
NPI assigned
Aug 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Dr. Talal Rajab Muhtaseb, MD
Title
President
Phone
(760) 687-9791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X A40901 CA Primary

Addresses

Primary practice location

3998 Vista Way
Suite C
Oceanside, CA 92056

Mailing address

PO Box 2164
Oceanside, CA 92051-2164
Phone (760) 687-9791

Other identifiers 1

IdentifierTypeStateIssuer
00A409010MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1477929974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2164",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920512164",
            "telephone_number": "760-687-9791",
            "fax_number": "760-730-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 VISTA WAY",
            "address_2": "SUITE C",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92056",
            "telephone_number": "760-687-9791",
            "fax_number": "760-730-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALAL R. MUHTASEB M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "MUHTASEB",
        "authorized_official_first_name": "TALAL",
        "authorized_official_middle_name": "RAJAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-687-9791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A40901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A409010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.