Isam Mawas MD Inc

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

A98516 Issued in CA

Legal business name

ISAM MAWAS MD INC

Practice address

3831 Hughes Ave Ste 604
Culver City, CA 90232-6848

Phone

(310) 730-8606

Fax

(318) 973-2420

NPI assigned

Aug 3, 2017

Last updated

Aug 13, 2022By 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. Isam Mawas, MDNPI 1790971422

Title

President

Phone

(818) 859-4486

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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.

• Isam Mawas, MD

  • Infectious Disease Physician
  • Culver City, CA
  • NPI 1790971422

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660348800000",
    "number": "1649795360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326848",
            "telephone_number": "310-730-8606",
            "fax_number": "318-973-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 HUGHES AVE STE 604",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902326848",
            "telephone_number": "310-730-8606",
            "fax_number": "318-973-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAM MAWAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-08-13",
        "certification_date": "2022-08-13",
        "status": "A",
        "authorized_official_last_name": "MAWAS",
        "authorized_official_first_name": "ISAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-859-4486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A98516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Feroz Iqbal, MD
• Rabia Iqbal
• Christian Irigoyen
• Ebony Isaac
• Armando Isais-Garcia
• Eric Ishibashi, O.D.
• Amy Iskander, LMFT
• Nadhiya Ito, M.A., CCC-SLP
• IV League, Inc
• Ivl Infusion Center Inc

• Infectious Disease Physician in Culver City, CA
• Providers in Culver City, CA by specialty
• Infectious Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.