Hanid Audish, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A9359 Issued in CA

Practice address

10225 Austin Dr
Suite 101
Spring Valley, CA 91978-1500

Phone

(619) 660-6003

Fax

(619) 660-0296

NPI assigned

May 23, 2007

Last updated

Dec 18, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encompass Family Physician Medical Group

  • Family Medicine Physician
  • Spring Valley, CA
  • NPI 1720035744
  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261094400000",
    "number": "1598975690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR",
            "address_2": "SUITE 101",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781500",
            "telephone_number": "619-660-6003",
            "fax_number": "619-660-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10225 AUSTIN DR",
            "address_2": "SUITE 101",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919781500",
            "telephone_number": "619-660-6003",
            "fax_number": "619-660-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDISH",
        "first_name": "HANID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2009-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A9359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Evangelista Anglo, PHARM.D.
• Arisa Medical West, PC (Arisa Medical)
• Carlos Ernesto Armas
• Verna Aspili, RN
• Lily Au-Yeung
• Genoveva Maria Avalos-Mireles, MSW LCSW
• Sabine Enyonam Awoudja
• Axial Medical Supply Inc. (Axial Medical Supply)
• Hanan Hanna Ayoub
• B-East, LLC (Amaya Springs Health Care Center)

• Family Medicine Physician in Spring Valley, CA
• Providers in Spring Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.