NPIMap

Organization Active NPI

Mahfouz M. Michael,M.D., Inc.

  • Urgent Care Clinic/Center
  • Huntington Park, CA
National Provider Identifier
1629851399
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MAHFOUZ M. MICHAEL,M.D., INC.
Practice address
5421 Pacific Blvd
Huntington Park, CA 90255-2532
Phone
(323) 581-0101
Fax
(213) 289-2133
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Mahfouz Michael, MDNPI 1447369103
Title
Ceo
Phone
(323) 581-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

5421 Pacific Blvd
Huntington Park, CA 90255-2532

Mailing address

PO Box 291040
Los Angeles, CA 90029-9040
Phone (323) 581-0101

National Provider Directory

National Provider Directory
Tax ID family
Clinica Medica San Miguel6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1629851399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291040",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900299040",
            "telephone_number": "323-581-0101",
            "fax_number": "213-289-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 PACIFIC BLVD",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552532",
            "telephone_number": "323-581-0101",
            "fax_number": "213-289-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHFOUZ M. MICHAEL,M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "MICHAEL",
        "authorized_official_first_name": "MAHFOUZ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-581-0101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.