Active NPI
Emile G. Shenouda MD, Inc
- General Practice Physician
- South Gate, CA
National Provider Identifier
1780139691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A56273
- Legal business name
- EMILE G. SHENOUDA MD, INC
- Practice address
- 10132 California Ave
South Gate, CA 90280-6008 - Phone
- (323) 566-4411
- Fax
- (323) 566-0390
- NPI assigned
- Aug 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Emile George Shenouda, M.D.
- Title
- President
- Phone
- (323) 566-4411
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A56273 | CA | |
| General Practice Physician | 208D00000X | A56273 | CA | Primary |
Addresses
Primary practice location
10132 California Ave
South Gate, CA 90280-6008
Mailing address
10132 California Ave
South Gate, CA 90280-6008
Phone (323) 566-4411
National Provider Directory
National Provider Directory- Tax ID family
- Centro Medico Guadalupano Para la Familia
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatrics Physician
- Mission Hills, CA
- NPI 1437334331
-
- Pediatrics Physician
- South Gate, CA
- NPI 1538344437
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- South Gate, CA
- NPI 1760596845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471651200000",
"number": "1780139691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10132 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806008",
"telephone_number": "323-566-4411",
"fax_number": "323-566-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10132 CALIFORNIA AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902806008",
"telephone_number": "323-566-4411",
"fax_number": "323-566-0390"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMILE G. SHENOUDA MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-20",
"last_updated": "2016-08-20",
"status": "A",
"authorized_official_last_name": "SHENOUDA",
"authorized_official_first_name": "EMILE",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-566-4411",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A56273",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "CA",
"license": "A56273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.