Individual provider Active NPI

Mohamed Elzanaty, RN

  • Home Health Registered Nurse
  • Glendora, CA
National Provider Identifier
1700794815
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
95246249 Issued in CA
Practice address
1122B E Route 66
Glendora, CA 91740-3772
Phone
(714) 343-0341
NPI assigned
Aug 31, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 95246249 CA Primary

Addresses

Primary practice location

1122B E Route 66
Glendora, CA 91740-3772

Mailing address

1122B E Route 66
Glendora, CA 91740-3772
Phone (714) 343-0341

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1700794815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122B E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403772",
            "telephone_number": "714-343-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122B E ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917403772",
            "telephone_number": "714-343-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELZANATY",
        "first_name": "MOHAMED",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "95246249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.