Individual provider Active NPI

Moufid Nemeh, M.D.

  • Specialist
  • Northridge, CA
National Provider Identifier
1508923160
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A43231 Issued in CA
Practice address
18250 Roscoe Blvd
#235
Northridge, CA 91325-4226
Phone
(818) 885-0063
Fax
(818) 885-0193
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A43231 CA Primary

Addresses

Primary practice location

18250 Roscoe Blvd
#235
Northridge, CA 91325-4226

Mailing address

18250 Roscoe Blvd
#235
Northridge, CA 91325-4226
Phone (818) 885-0063

Other identifiers 2

IdentifierTypeStateIssuer
00A4323LLMedicaidCA
A4323LOtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000853 CA Practitioner - NephrologyPractitioner - Internal Medicine 0042124539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moufid Nemeh M.D.Group PAC ID 6507948064, 2 clinicians

Practice addresses (Care Compare)

18250 Roscoe Blvd
Suite 235
Northridge, CA 91325-4270

18350 Roscoe Blvd
Suite 714
Northridge, CA 91325-5605
Phone (818) 885-0063

Hospital & facility affiliations

  • Sylmar Dialysis Center Dialysis facility, Sylmar, CA, CCN 552778
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A43231CAMDSpecialist
43231CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Moufid Nemeh M.D. Specialist CurrentSince Dec 15, 1995 Accepting new patients
Kidney Dialysis Center of Northridge,LLC PastSince Aug 13, 2003 Accepting new patients

Locations

18350 Roscoe Blvd
Ste 714
Northridge, CA 91325
Phone (818) 717-3021

18250 Roscoe Blvd
Ste 235
Northridge, CA 91325
Phone (818) 882-2064

18250 Roscoe Blvd
Ste 2
Northridge, CA 91325
Phone (818) 885-0063

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: moufid.nemeh@435916483002372.direct.elationemr.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1508923160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "#235",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-0063",
            "fax_number": "818-885-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18250 ROSCOE BLVD",
            "address_2": "#235",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254226",
            "telephone_number": "818-885-0063",
            "fax_number": "818-885-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMEH",
        "first_name": "MOUFID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A43231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A4323LL",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A4323L",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

Verify at the official NPI Registry.