Mobile Medical Providers, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A125934 Issued in CA

Legal business name

MOBILE MEDICAL PROVIDERS, INC.

Practice address

19634 Ventura Blvd Ste 321
Tarzana, CA 91356-2994

Phone

(310) 388-8788

Fax

(855) 667-6377

NPI assigned

Oct 13, 2014

Last updated

Dec 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Boules Salib, MD, MPHNPI 1437302692

Title

President

Phone

(310) 388-8788

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Boules Salib, MD, MPH

  • Internal Medicine Physician
  • Tarzana, CA
  • NPI 1437302692
  Authorized official Same address or phone

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1528462033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 321",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562994",
            "telephone_number": "310-388-8788",
            "fax_number": "855-667-6377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19634 VENTURA BLVD STE 321",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562994",
            "telephone_number": "310-388-8788",
            "fax_number": "855-667-6377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "SALIB",
        "authorized_official_first_name": "BOULES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-388-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A125934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB229346",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yoko Miyasaki, M.D.
• Jean T Miyashita, MD
• Aimi Yurika Mizumoto, DPT
• John Mlady-Fletcher
• Narine Mnatsakanyan
• Michael Mocadam, PHARM D
• Modern DME LLC
• Mary Margaret Moebius, MD
• Mohsen Tanbakoochi Moghaddam, M.D.
• Mohammad Abuzaineh MD Inc a Professional Corporation

• Internal Medicine Physician in Tarzana, CA
• Providers in Tarzana, 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 Dec 4, 2019; 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.