Nahel Al Bouz MD a Professional Medical Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NAHEL AL BOUZ MD A PROFESSIONAL MEDICAL CORP

Practice address

811 E 11TH St Ste 203
Upland, CA 91786-4872

Phone

(909) 581-6420

Fax

(909) 982-2322

NPI assigned

May 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Nahel Al Bouz, M.D.NPI 1326235136

Title

Ceo

Phone

(516) 241-3595

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nahel Al Bouz, M.D.

  • Internal Medicine Physician
  • Upland, CA
  • NPI 1326235136
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1679951578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 REDWOOD LN",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733624",
            "telephone_number": "516-241-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E 11TH ST STE 203",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864872",
            "telephone_number": "909-581-6420",
            "fax_number": "909-982-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAHEL AL BOUZ MD A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "AL BOUZ",
        "authorized_official_first_name": "NAHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-241-3595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maureen Murray
• Angela Musa
• Naomi A Myers, PT,DPT
• Nabil Koudsi MD Inc
• Mysore R Nagaraja, M.D.
• Nima Naimi, D.O.
• Dwight Nairn
• Amal Eman Najjar
• Nam M Phan DMD PC
• Vikram Nanda-Kumar, DMD

• Internal Medicine Physician in Upland, CA
• Providers in Upland, 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 Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.