Individual provider Active NPI

Nadeem Ayoub Ali Mousa, MD

  • Pediatrics Physician
  • Reedley, CA
National Provider Identifier
1669098091
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A184722 Issued in CA
Practice address
1433 N Acacia Ave
Reedley, CA 93654-2102
Phone
(559) 637-2384
Fax
(559) 637-7550
NPI assigned
Jun 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A184722 CA Primary

Addresses

Primary practice location

1433 N Acacia Ave
Reedley, CA 93654-2102

Mailing address

9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-5700

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230801002317 CA Practitioner - Pediatric Medicine 8022479468 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A184722CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Aug 1, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Aug 1, 2023 Accepting new patients

Locations

1433 N Acacia Ave
Reedley, CA 93654
Phone (559) 391-3100

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Interoperability endpoints

  • Direct secure messaging: nmousa77623@valleychildrens-prd.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1669098091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL # SC05",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N ACACIA AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542102",
            "telephone_number": "559-637-2384",
            "fax_number": "559-637-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSA",
        "first_name": "NADEEM",
        "middle_name": "AYOUB ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-22",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A184722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedley, CA

Sources for this page

Verify at the official NPI Registry.