Wasim Mouazzen M.D., Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

WASIM MOUAZZEN M.D., INC.

Practice address

415 W Route 66 Ste 101
Glendora, CA 91740-4335

Phone

(626) 327-2763

NPI assigned

Aug 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Wasim Mouazzen, MDNPI 1326542010

Title

President

Phone

(626) 327-2763

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wasim Mouazzen, MD

  • Hospitalist Physician
  • Escondido, CA
  • NPI 1326542010
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1699507160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 FOXGLOVE CT",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917416605",
            "telephone_number": "626-327-2763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W ROUTE 66 STE 101",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917404335",
            "telephone_number": "626-327-2763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASIM MOUAZZEN M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "MOUAZZEN",
        "authorized_official_first_name": "WASIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-327-2763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica D Wang, NP
• Wei-Cheng Wang, LAC
• Yan Wang, MD
• Yibo Wang, FNP
• Bonnie Louise Warner, LMFT
• John Alexander Watson, RN
• Marianne Elizabeth Weber, M.S.,C.C.C.
• Cathryn Johanna Wechsler, M.D.
• Wei Li MD a Medical Corporation
• Bruce James Weimer, M.D.

• Primary Care Clinic/Center in Glendora, CA
• Providers in Glendora, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.