Bassel Mahfoud

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

NULL Issued in CA

Practice address

2932 N Cottonwood St Unit 16
Orange, CA 92865-1235

Phone

(888) 851-3677

Fax

(888) 851-3671

NPI assigned

Mar 23, 2020

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)

Not enrolled

Practice roles

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.

• Neuroguard Pro

  • Electroneurodiagnostic Specialist/Technologist
  • Anaheim, CA
  • NPI 1518527613

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1578199402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 N COTTONWOOD ST UNIT 16",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651235",
            "telephone_number": "888-851-3677",
            "fax_number": "888-851-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 N COTTONWOOD ST UNIT 16",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651235",
            "telephone_number": "888-851-3677",
            "fax_number": "888-851-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHFOUD",
        "first_name": "BASSEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CA",
            "license": "NULL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mithila Mahale
• Roza Mahdiyar, MD
• Maher Gobran, MD, a Medical Corporation
• Justine Andrea Maher, MD, MPH
• Terrence Kevin Maher, LCSW
• Aafreen Ayesha Mahmood, MD
• Tariq Mahmood, M.D.
• Dema Mahmoud
• Eugene L Mahmoud, MD
• Samaan Mahmoudzadeh, MD

• Clinical Neurophysiology Physician in Orange, CA
• Providers in Orange, CA by specialty
• Clinical Neurophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.