Individual provider Active NPI

Iyad Z Allouh, RN

  • Registered Nurse
  • Orange, CA
National Provider Identifier
1689367518
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95108521 Issued in CA
Practice address
170 City Blvd W Apt 104
Orange, CA 92868-2919
Phone
(315) 807-6668
NPI assigned
May 26, 2023
Last updated
May 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95108521 CA Primary

Addresses

Primary practice location

170 City Blvd W Apt 104
Orange, CA 92868-2919

Mailing address

170 City Blvd W Apt 104
Orange, CA 92868-2919
Phone (315) 807-6668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95108521CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1689367518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CITY BLVD W APT 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682919",
            "telephone_number": "315-807-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CITY BLVD W APT 104",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682919",
            "telephone_number": "315-807-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLOUH",
        "first_name": "IYAD",
        "middle_name": "Z",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95108521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.