Organization Active NPI

Mfidai Medical Professional Corporation

  • Orthopaedic Surgery of the Spine Physician
  • Hermosa Beach, CA
National Provider Identifier
1689598591
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
Legal business name
MFIDAI MEDICAL PROFESSIONAL CORPORATION
Practice address
2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701
Phone
(310) 896-5116
NPI assigned
Aug 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Mohsin Fidai, MD
Title
Ceo
Phone
(847) 809-5736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0117X Primary

Addresses

Primary practice location

2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701

Mailing address

2200 Pacific Coast Hwy Ste 215
Hermosa Beach, CA 90254-2701
Phone (310) 896-5116

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1689598591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 215",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542701",
            "telephone_number": "310-896-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PACIFIC COAST HWY STE 215",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542701",
            "telephone_number": "310-896-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFIDAI MEDICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "FIDAI",
        "authorized_official_first_name": "MOHSIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-809-5736",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermosa Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.