Nick Mashour, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A72007 Issued in CA

Practice address

125 Baker St E
Suite 180
Costa Mesa, CA 92626-4509

Phone

(714) 540-5900

Fax

(714) 540-5906

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1508896515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1867",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926471867",
            "telephone_number": "714-540-5900",
            "fax_number": "714-540-5906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAKER ST E",
            "address_2": "SUITE 180",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264509",
            "telephone_number": "714-540-5900",
            "fax_number": "714-540-5906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHOUR",
        "first_name": "NICK",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.