George Mousa MD Prof Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GEORGE MOUSA MD PROF INC

Practice address

401 E 21St St
San Bernardino, CA 92404-4845

Phone

(909) 881-3333

NPI assigned

Jul 25, 2023

Organization subpart

No

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

Authorized official

Name

George Mousa, MDNPI 1144711821

Title

Owner

Phone

(714) 261-7958

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.

• George Mousa, MD

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1144711821
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1679254411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 MAYWOOD AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 21ST ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044845",
            "telephone_number": "909-881-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MOUSA MD PROF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "MOUSA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-261-7958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gemmell
• David Patrick Gennis, PSY.D., LMFT
• Marx Genovez, M.D.
• Gentle Touch Medical Supply
• Genus Home Care of San Bernardino
• Julie Georgulas
• Gerald Blake, MD
• Itzel A Gerardo Perez
• Joshua Joseph Gernes
• Keith Gers

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.